Bridgepointe Dental Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIDGEPOINTE DENTAL STUDIO

Practice address

230 Bridge St
Metuchen, NJ 08840-2291

Phone

(732) 479-0195

NPI assigned

Nov 21, 2024

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edda Y Sidorova, DMDNPI 1083283659

Title

Owner

Phone

(201) 747-7904

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edda Yesenia Sidorova, DMD

  • Dentist
  • Metuchen, NJ
  • NPI 1083283659
  NPD Authorized official

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1164247391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LONGVIEW ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524857",
            "telephone_number": "201-747-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402291",
            "telephone_number": "732-479-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPOINTE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SIDOROVA",
        "authorized_official_first_name": "EDDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-747-7904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Kristy Bradley
• Jessica Breen, LCSW
• Bressler Chiropractic Health Center, .PC. (Bressler-Mandell Chiropractic Health Center, P.C.)
• Jennifer Dawn Brevetti, D.P.T.
• Bridge Point Medical Associates, LLC
• Bridgepointe Family Dental LLC
• Dina Lynn Brigandi, MA, OTR/L
• Bright Future Psychiatry
• Brightcare Health Corp
• Aaron Brinen, PSYD

• Dental Clinic/Center in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.