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LIFE BRIDGE DENTAL LLC
NPI 1538805346
Dentist - General Practice in North Bethesda, MD

Active since May 05, 2022
11564 OLD GEORGETOWN ROAD, NORTH BETHESDA, MD 20852(212) 686-3686(615) 468-0325 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Life Bridge Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE BRIDGE DENTAL LLC (NPI 1538805346) is a healthcare organization registered as a general practice in North Bethesda, Maryland and active in the NPI registry since May 2022. The organization lists Kenneth Neilq Sullivan, Director, Rcm, as its authorized official.

NPPES Registry Identity

NPI1538805346
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFE BRIDGE DENTAL LLC
Location Address11564 OLD GEORGETOWN ROADNorth Bethesda, MD 20852
Mailing Address8 City Blvd Ste 203Nashville, TN 37209-2559 · (212) 686-3686 · Fax (615) 468-0325
Phone(212) 686-3686
Fax(615) 468-0325
Organization SubpartNo
Authorized OfficialKenneth Neilq SullivanDirector, Rcm · (212) 686-3686
Enumeration DateMay 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1538805346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11564 OLD GEORGETOWN ROAD, North Bethesda, MD 20852
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Bridge Dental LLC's NPI number?

The NPI number for Life Bridge Dental LLC is 1538805346. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Life Bridge Dental LLC located?

Life Bridge Dental LLC is located at 11564 Old Georgetown Road, North Bethesda, MD 20852. The listed phone number is (212) 686-3686.

What is Life Bridge Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Life Bridge Dental LLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.