Bruce Wayne Overton in Midlothian - Endodontics
Bruce Wayne Overton - NPI 1992865604
Bruce Wayne Overton is a Endodontics in Midlothian, Virginia. Bruce Wayne Overton practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Bruce Wayne Overton is 1992865604. The last update date is 2007-07-08.
Bruce Wayne Overton's current location address is 6037 Harbour Park Drive, Midlothian, Virginia. You can contact this provider via phone number 8047443636 and fax number 8047446365. The mailing address for Bruce Wayne Overton is 6037 Harbour Park Drive, Midlothian, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Wayne Overton |
|---|---|
| Address | 6037 Harbour Park Drive, Midlothian, Virginia |
| Phone Number | 8047443636 |
| Fax Number | 8047446365 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1992865604 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6037 Harbour Park Drive |
|---|---|
| City | Midlothian |
| State | Virginia (VA) |
| Post Code | 23112 |
| Phone Number | 8047443636 |
| Fax Number | 8047446365 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 401007578 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Bruce Wayne Overton by the Centers for Medicare & Medicaid Services?
The Bruce Wayne Overton has been issued the NPI (National Provider Identifier) 1992865604 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bruce Wayne Overton's physical address?
The Bruce Wayne Overton is physically located at 6037 Harbour Park Drive, in the city of Midlothian, VA, with the postal code 23112.
What is Bruce Wayne Overton's area of expertise and its corresponding taxonomy classification?
The Bruce Wayne Overton's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
When was the Bruce Wayne Overton's 1992865604 issued?
The Bruce Wayne Overton's 1992865604 was issued on 2006-12-11.
As of what date were the details related to Bruce Wayne Overton most recently updated or revised?
The information pertaining to Bruce Wayne Overton, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD