Individual
BRIDGER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2300 N HILLS ST, MERIDIAN, MS 39305-2633
(601) 484-3140
Mailing address
8151 E INDIAN BEND RD, STE. 111, SCOTTSDALE, AZ 85250-4826
(480) 607-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3689-13
MS
1223P0221X
Pediatric Dentistry
Primary
PEDO-574-19
MS
Other
Enumeration date
07/03/2013
Last updated
08/23/2021
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