Provider Demographics
NPI:1407116445
Name:SWEENEY, BRIDGET E (DDS)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:E
Last Name:SWEENEY
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 1:1360 NIAGARA ST APT 107
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-1300
Mailing Address - Country:US
Mailing Address - Phone:315-404-4369
Mailing Address - Fax:
Practice Address - Street 1:6043 TRANSIT RD STE 102
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1793
Practice Address - Country:US
Practice Address - Phone:716-221-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0566971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice