Healthcare Provider Details

I. General information

NPI: 1659309821
Provider Name (Legal Business Name): CATHERINE ELIZABETH BRIDGES D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W SILVER SPRINGS BLVD
OCALA FL
34475-6456
US

IV. Provider business mailing address

1801 SE 32ND AVE
OCALA FL
34471-5532
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-2664
  • Fax: 352-622-2363
Mailing address:
  • Phone: 352-629-0137
  • Fax: 352-620-6840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDN11663
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: