Dr. Shannitta Latrease Bridgers is a Fayetteville, North Carolina based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Shannitta Latrease Bridgers is 8568 for Pediatric Dentistry in North Carolina. Her current practice location is 1367 Walter Reed Rd, Suite 103, Fayetteville. Patients can reach her at 910-485-8749.
Dr. Shannitta Latrease Bridgers provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Shannitta Latrease Bridgers speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Shannitta Latrease Bridgers
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1367 Walter Reed Rd, Suite 103, Fayetteville, North Carolina, 28304
Phone:
910-485-8749
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1083872915
NPI Enumeration Date:
28 May, 2008
NPI Last Update On:
23 May, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shannitta Latrease Bridgers are as mentioned below.
License Number
Specialization
State
Status
8568
Pediatric Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shannitta Latrease Bridgers such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5911135
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1367 Walter Reed Rd Ste 103, Fayetteville, North Carolina
Zip:
28304-4445
Phone Number:
910-485-8749
Fax Number:
910-485-8398
Patients can reach Dr. Shannitta Latrease Bridgers at 1367 Walter Reed Rd, Suite 103, Fayetteville, North Carolina or can call to book an appointment on 910-485-8749. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.