Provider Demographics
NPI:1912537820
Name:JONES-BRIDGES, MARIE PAULA (RDH)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:PAULA
Last Name:JONES-BRIDGES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-1541
Mailing Address - Country:US
Mailing Address - Phone:401-486-9794
Mailing Address - Fax:401-726-3704
Practice Address - Street 1:25 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1541
Practice Address - Country:US
Practice Address - Phone:401-486-9794
Practice Address - Fax:401-726-3704
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDH01075124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist