Bruce John Zimmerman in Colorado Springs - Dentist

Bruce John Zimmerman - NPI 1366427825

Bruce John Zimmerman is a Dentist in Colorado Springs, Colorado. Bruce John Zimmerman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce John Zimmerman is 1366427825. The last update date is 2007-07-08.

Bruce John Zimmerman's current location address is 1155 Kelly Johnson Blvd, Colorado Springs, Colorado. You can contact this provider via phone number 7195939100 and fax number 7195939101. The mailing address for Bruce John Zimmerman is 1155 Kelly Johnson Blvd, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce John Zimmerman
Address 1155 Kelly Johnson Blvd, Colorado Springs, Colorado
Phone Number 7195939100
Fax Number 7195939101
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1366427825
Provider Enumeration Date 2005-12-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1155 Kelly Johnson Blvd
City Colorado Springs
State Colorado (CO)
Post Code 809203932
Phone Number 7195939100
Fax Number 7195939101

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 104358
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2043586 CO --

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FAQs about Bruce John Zimmerman

Could you please share the complete physical location address where Bruce John Zimmerman's facilities are situated?

The facilities of Bruce John Zimmerman are physically located at the following address: 1155 Kelly Johnson Blvd, Colorado Springs, CO, 809203932.

What is Bruce John Zimmerman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce John Zimmerman's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

What is Bruce John Zimmerman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bruce John Zimmerman is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date was the 1366427825 assigned to Bruce John Zimmerman?

The Bruce John Zimmerman was issued its 1366427825 on 2005-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bruce John Zimmerman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bruce John Zimmerman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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