Healthcare Provider Details
I. General information
NPI: 1699608257
Provider Name (Legal Business Name): BERNARD ANG DMD OF BRIDGEWATER PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 HEALTH CENTER DR APT A
BRIDGEWATER VA
22812-9527
US
IV. Provider business mailing address
50 HEALTH CENTER DR APT A
BRIDGEWATER VA
22812-9527
US
V. Phone/Fax
- Phone: 540-302-5830
- Fax:
- Phone: 540-302-5830
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BERNARD
W
ANG
Title or Position: DENTIST
Credential: DMD
Phone: 603-315-7750