Provider Demographics
NPI:1689938615
Name:HENN, BRIDGET E (DDS)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:E
Last Name:HENN
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 1:21 S HOPE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5000
Mailing Address - Country:US
Mailing Address - Phone:732-813-3730
Mailing Address - Fax:
Practice Address - Street 1:21 S HOPE CHAPEL RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5000
Practice Address - Country:US
Practice Address - Phone:732-813-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025229001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics