Dr. Matthew Bridwell, D.D.S.
Dentist, General Practice in Sheridan, AR. Individual provider (NPI-1).
NPI number1407086366
StatusActive
Last updated in NPPESSep 19, 2012
Details
- NPI
- 1407086366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Bridwell
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2009
- Last updated
- Sep 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3727 | AR | Yes |
Practice location
1310 S Rock St Ste 1Sheridan, AR 72150-7223
Phone 870-942-4444 · Fax 870-942-4454
Mailing address
1310 S Rock St Ste 1Sheridan, AR 72150-7223
Phone 870-942-4444 · Fax 870-942-4454
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