Bridget B Stevens,DDS,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2883 Issued in WV

Legal business name

BRIDGET B STEVENS,DDS,INC

Practice address

1226 Ohio Ave
Dunbar, WV 25064-3020

Phone

(304) 768-5616

Fax

(304) 768-5617

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bridget Boggs Stevens, DDSNPI 1144390246

Title

Dentist/Owner

Phone

(304) 768-5616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Boggs Stevens, DDS

  • General Practice Dentistry
  • Dunbar, WV
  • NPI 1144390246
  NPD Authorized official
• Hayley Elizabeth Dewalder, DDS

  • General Practice Dentistry
  • Dunbar, WV
  • NPI 1083708804
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1881949840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 OHIO AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643020",
            "telephone_number": "304-768-5616",
            "fax_number": "304-768-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OHIO AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643020",
            "telephone_number": "304-768-5616",
            "fax_number": "304-768-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET B STEVENS,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "BOGGS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "304-768-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4005115000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braley & Thompson, Inc
• Braley Thompson
• Lee Ann Brammer, SPEECH LANGUAGE PATH
• Tiffany Brashear
• Marleen Danielle Brennan, OTR/L
• Cassandra Brown
• Clarington Aliston Brown
• Keziah Renae Brown
• Lauren Brown
• Leslie Brown

• General Practice Dentistry in Dunbar, WV
• Providers in Dunbar, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.