Organization
DR BYRON K. BRIDGES DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYON K. BRIDGES DDS PA (DR)
(864) 836-8416
Entity
Organization
Contact information
Practice address
3037 GEER HWY, MARIETTA, SC 29661
(864) 836-8416
(864) 836-0780
Mailing address
P.O. BOX 491, 3037 GERR HWY, MARIETTA, SC 29661-0491
(864) 836-8416
(864) 836-0780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1171
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952475949
—
SC
05
—
Z11719
—
SC
05
—
ZA11719
—
SC
Enumeration date
11/20/2006
Last updated
08/20/2008
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