Glen J Bridges, DMD Valid NPI
Individual provider · General Practice Dentistry · Jackson, AL
- NPI
- 1326124041
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 3658 (AL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-27
- Last updated
- 2007-07-08
Practice location
125 W Church St
Jackson, AL 36545-2733
(251) 246-4404