Provider Demographics
NPI:1427086180
Name:ISLEY, BRIDGET DOYLE (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:DOYLE
Last Name:ISLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRIDGET
Other - Middle Name:JOANN
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5109 ADMIRAL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3428
Mailing Address - Country:US
Mailing Address - Phone:918-361-0118
Mailing Address - Fax:
Practice Address - Street 1:579 10TH ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4013
Practice Address - Country:US
Practice Address - Phone:941-315-9914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK59951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200299420AMedicaid