Individual provider Active NPI

Linda W Wentworth Bridges, DDS

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1104944602
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3746 Issued in SC
Practice address
4 Halton Green Way
Greenville, SC 29607-6606
Phone
(864) 283-2838
Fax
(864) 286-0560
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3746 SC Primary

Addresses

Primary practice location

4 Halton Green Way
Greenville, SC 29607-6606

Mailing address

4 Halton Green Way
Greenville, SC 29607-6606
Phone (864) 283-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3746SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Dental Associates PA General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1104944602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HALTON GREEN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076606",
            "telephone_number": "864-283-2838",
            "fax_number": "864-286-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HALTON GREEN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076606",
            "telephone_number": "864-283-2838",
            "fax_number": "864-286-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH BRIDGES",
        "first_name": "LINDA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.