Bruce Alan Rannin in Great Lakes - Dentist
Bruce Alan Rannin - NPI 1053370163
Bruce Alan Rannin is a Dentist in Great Lakes, Illinois. Bruce Alan Rannin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Alan Rannin is 1053370163. The last update date is 2007-07-08.
Bruce Alan Rannin's current location address is 3001a Sixth Street, Great Lakes, Illinois. You can contact this provider via phone number 8476883950 and fax number 8476886369. The mailing address for Bruce Alan Rannin is 3001a Sixth Street, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Alan Rannin |
|---|---|
| Address | 3001a Sixth Street, Great Lakes, Illinois |
| Phone Number | 8476883950 |
| Fax Number | 8476886369 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1053370163 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3001a Sixth Street |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 60088 |
| Phone Number | 8476883950 |
| Fax Number | 8476886369 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 |
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Post Comment/ Review Below
What is the Bruce Alan Rannin's 1053370163?
The Bruce Alan Rannin's NPI (National Provider Identifier) Number is 1053370163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bruce Alan Rannin?
The Bruce Alan Rannin is physically situated at 3001A Sixth Street, in the city of Great Lakes, state of IL, with the postal code 60088.
What is Bruce Alan Rannin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bruce Alan Rannin is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053370163 to Bruce Alan Rannin?
The Centers for Medicare & Medicaid Services originally issued the 1053370163 to Bruce Alan Rannin on 2006-03-20.
When was the information pertaining to Bruce Alan Rannin most recently updated or revised?
The details related to Bruce Alan Rannin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.