IndividualActive
Tamisha Bridgeforth, RDA & DLT
NPI 1679379655 · Dental Laboratory Technician · Memphis, TN
Provider details
- NPI number
- 1679379655
- Entity type
- Individual
- Primary specialty
- Dental Laboratory TechnicianDental Providers
- Credential
- RDA & DLT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
1768 Pendleton St Apt 3
Memphis, TN 38114-7803
Phone: (901) 828-0784
Approximate (ZIP-level) locationGet directions
Mailing address
1768 Pendleton St Apt 3
Memphis, TN 38114-7803
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.