Organization
CMP DENTAL ARTS PLLC
Active
Other names
Highbridge Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS BERNAL (QUALITY ASSURANCE SPECIALIST- CREDE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7197 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066
(315) 637-7684
Mailing address
7197 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066
(315) 637-7684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972714376
—
MA
Enumeration date
06/15/2019
Last updated
01/26/2026
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