Individual
DR. MATTHEW BRIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1310 S ROCK ST STE 1, SHERIDAN, AR 72150-7223
(870) 942-4444
(870) 942-4454
Mailing address
1310 S ROCK ST STE 1, SHERIDAN, AR 72150-7223
(870) 942-4444
(870) 942-4454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3727
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179075608
—
AR
Enumeration date
07/24/2009
Last updated
09/19/2012
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