Provider Demographics
NPI:1033132667
Name:BRIDGES, SUSAN HORLDT (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:HORLDT
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 16TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2463
Mailing Address - Country:US
Mailing Address - Phone:828-403-8345
Mailing Address - Fax:
Practice Address - Street 1:322 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2402
Practice Address - Country:US
Practice Address - Phone:828-632-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice