Glen J Bridges, DMD

NPI #1326124041 in Jackson, Alabama

Provider Information

NPI Number: 1326124041
Entity Type: Individual
Name: Glen J Bridges, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 125 W CHURCH ST
City: Jackson
State: Alabama
ZIP Code: 36545-2733
Phone: (251) 246-4404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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