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Contact Information

CHARLES L BRIDGEFORD, DDS
117 NORTH WASHINGTON STREET
GRAND FORKS, ND58203
 Phone: 701-746-0485
 Fax: 701-746-3201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CHARLES L BRIDGEFORD · (Male)

NPI # 1245318625
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/01/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 1631
  • ND Medicaid 41252
  • Other 901631 DENTAL SERVICE CORP INSUR
  • Other 672283 UNITED CONCORDIA MILITARY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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