Bridgeford, Charles Lee

Bridgeford, Charles Lee is an individual health care provider with primary practice located at 117 North Washington Street , Grand Forks ND 58203. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bridgeford, Charles Lee can be contacted via phone (701) 746-0485.

Contact Information

Primary practice address
117 North Washington Street Grand Forks ND 58203
Phone: (701) 746-0485
Fax: (701) 746-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1631 North Dakota

Profile Details

NPI number 1245318625
LBN Legal business name Bridgeford, Charles Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245318625 NPPES
North Dakota MEDICAID 41252
North Dakota Other 901631
North Dakota Other 672283

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