Individual
DR. BRIDGET BOGGS STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1226 OHIO AVE, DUNBAR, WV 25064-3020
(304) 768-5616
(304) 768-5617
Mailing address
1226 OHIO AVE, DUNBAR, WV 25064-3020
(304) 768-5616
(304) 768-5617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2883
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005115000
—
WV
Enumeration date
11/08/2006
Last updated
06/25/2020
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