Healthcare Provider Details

I. General information

NPI: 1083583090
Provider Name (Legal Business Name): BRIDGET HOLMES RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 LITTLE PATUXENT PKWY
COLUMBIA MD
21044-3110
US

IV. Provider business mailing address

14185 DAY FARM RD
GLENELG MD
21737-9515
US

V. Phone/Fax

Practice location:
  • Phone: 443-518-1570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: