Shannitta Latrease Bridgers, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8568 Issued in NC

Practice address

2255 Treelight Way
Wendell, NC 27591

Phone

(919) 200-0463

NPI assigned

May 28, 2008

Last updated

May 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neidre Banakus DDS PLLC

  dba The Smiling Turtle Pediatric Dentistry

  • Pediatric Dentistry
  • Wendell, NC
  • NPI 1386442366
  NPD
• Neidre J Banakus DDS PC Wendell

  dba The Smiling Turtle Pediatric Dentistry Wendell

  • Pediatric Dentistry
  • Wendell, NC
  • NPI 1396468377
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1083872915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 TREELIGHT WAY",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-200-0463",
            "fax_number": "910-485-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 TREELIGHT WAY",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-200-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGERS",
        "first_name": "SHANNITTA",
        "middle_name": "LATREASE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Prokopiou Boisvert, RD, LD, MPH
• Suzan Lynne Booker
• Saadia Bookhardt-Smith
• Adam Hall Brandt, LCMHC
• Bridge Builders Wellness
• Bright Futures Transit LLC
• Nicole Ann Brooker, PMHNP, AGPCNP, BSN
• Brooks Family Eye Care, OD, PLLC
• Vanessa Marie Brosan, FNP-C
• Angela Denise Brown, M.ED., CCC-SLP

• Pediatric Dentistry in Wendell, NC
• Providers in Wendell, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.