Active NPI
Laura Coyle Bridges, DMD
- General Practice Dentistry
- Valrico, FL
National Provider Identifier
1447413729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18447
- Practice address
- 3646 Lithia Pinecrest Road
Valrico, FL 33596 - Phone
- (813) 654-3399
- Fax
- (813) 436-5543
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18447 | FL | Primary |
Addresses
Primary practice location
3646 Lithia Pinecrest Road
Valrico, FL 33596
Mailing address
3646 Lithia Pinecrest Road
Valrico, FL 33596
Phone (813) 654-3399
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN18447 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1447413729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 LITHIA PINECREST ROAD",
"city": "VALRICO",
"state": "FL",
"postal_code": "33596",
"telephone_number": "813-654-3399",
"fax_number": "813-436-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 LITHIA PINECREST ROAD",
"city": "VALRICO",
"state": "FL",
"postal_code": "33596",
"telephone_number": "813-654-3399",
"fax_number": "813-436-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "LAURA",
"middle_name": "COYLE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.