| Life Bridge Dental Llc | |
|
11564 Old Georgetown Road North Bethesda MD 20852 | |
| (212) 686-3686 | |
| (615) 468-0325 |
| Full Name | Life Bridge Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11564 Old Georgetown Road, North Bethesda, Maryland |
| Authorized Official Name and Position | Kenneth Neilq Sullivan (DIRECTOR, RCM) |
| Authorized Official Contact | 2126863686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Bridge Dental Llc 8 City Blvd Ste 203 Nashville TN 37209-2559 Ph: (212) 686-3686 | Life Bridge Dental Llc 11564 Old Georgetown Road North Bethesda MD 20852 Ph: (212) 686-3686 |
| NPI Number | 1538805346 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538805346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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