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Dr. Shannitta Latrease Bridgers, DDS
Pediatric Dentist in Fayetteville, North Carolina
NPI 1083872915

Shannitta Latrease Bridgers is a Pediatric Dentist based in Fayetteville, NC and is specialized in Pediatric Dentistry. Shannitta Latrease Bridgers practices in Fayetteville, NC and has the professional credentials of DDS. The NPI Number for Shannitta Latrease Bridgers is 1083872915 and holds a License No. 8568 (North Carolina).

The current practice location address for Shannitta Latrease Bridgers is 1367 Walter Reed Rd, Fayetteville, NC and can be reached out via phone at 910-485-8749. You can also correspond with Shannitta Latrease Bridgers through the mailing address at 1367 WALTER REED RD STE 103, FAYETTEVILLE, NC - 28304-4445 (mailing address contact number: 910-485-8749).

Location: 1367 Walter Reed Rd, Fayetteville, NC, 28304-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083872915
Provider Name
Shannitta Latrease Bridgers
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1367 Walter Reed Rd, Fayetteville, NC, 28304-4445
Phone Number
910-485-8749
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5911135 05 NC
institution
Provider Business Practice Location Address Details
Address
1367 Walter Reed Rd
City
Fayetteville
State
North Carolina
Zip
28304
Phone Number
910-485-8749
Fax Number
person
Provider Business Mailing Address Details
Address
1367 Walter Reed Rd
City
Fayetteville
State
North Carolina
Zip
28304
Phone Number
910-485-8749
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
8568 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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