Bruce Alan Blanchard in Myrtle Beach - Dentist

Bruce Alan Blanchard - NPI 1275682544

Bruce Alan Blanchard is a Dentist in Myrtle Beach, South Carolina. Bruce Alan Blanchard practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Alan Blanchard is 1275682544. The last update date is 2007-07-08.

Bruce Alan Blanchard's current location address is 5501 Woodside Ave, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434495035. The mailing address for Bruce Alan Blanchard is 5501 Woodside Ave, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Alan Blanchard
Address 5501 Woodside Ave, Myrtle Beach, South Carolina
Phone Number 8434495035
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1275682544
Provider Enumeration Date 2007-01-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5501 Woodside Ave
City Myrtle Beach
State South Carolina (SC)
Post Code 295772243
Phone Number 8434495035
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2973
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
ZA9831 SC --

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FAQs about Bruce Alan Blanchard

What is the unique 10-digit identification code assigned to Bruce Alan Blanchard by the Centers for Medicare & Medicaid Services?

The Bruce Alan Blanchard has been issued the NPI (National Provider Identifier) 1275682544, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Bruce Alan Blanchard located?

The Bruce Alan Blanchard is located at 5501 Woodside Ave, Myrtle Beach, SC 295772243.

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

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

On what date did Bruce Alan Blanchard receive its 1275682544 assignment from the Centers for Medicare & Medicaid Services?

The Bruce Alan Blanchard was assigned its 1275682544 on 2007-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Bruce Alan Blanchard most recently updated or refreshed?

The details pertaining to the Bruce Alan Blanchard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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