Bridge, Donna M

Bridge, Donna M is an individual health care provider with primary practice located at 1515 26Th Ave E , Bradenton FL 34208-7707. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bridge, Donna M can be contacted via phone (941) 708-8600.

Contact Information

Primary practice address
1515 26Th Ave E Bradenton FL 34208-7707
Fax: (941) 708-7645
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN12476 Florida

Profile Details

NPI number 1497967608
LBN Legal business name Bridge, Donna M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jun 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497967608 NPPES
Florida MEDICAID 003608500

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