Bernard Charles Bruce in Texarkana - Periodontics

Bernard Charles Bruce - NPI 1124173174

Bernard Charles Bruce is a Periodontics in Texarkana, Texas. Bernard Charles Bruce practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bernard Charles Bruce is 1124173174. The last update date is 2007-07-08.

Bernard Charles Bruce's current location address is 4210 Mcknight Rd, Texarkana, Texas. You can contact this provider via phone number 9038380511 and fax number 9038325023. The mailing address for Bernard Charles Bruce is 4210 Mcknight Rd, Texarkana, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernard Charles Bruce
Address 4210 Mcknight Rd, Texarkana, Texas
Phone Number 9038380511
Fax Number 9038325023
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1124173174
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4210 Mcknight Rd
City Texarkana
State Texas (TX)
Post Code 755030922
Phone Number 9038380511
Fax Number 9038325023

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 7845
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Bernard Charles Bruce

What is the unique provider identifier assigned to Bernard Charles Bruce?

The Bernard Charles Bruce has been issued the NPI (National Provider Identifier) 1124173174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Bernard Charles Bruce?

The Bernard Charles Bruce is physically situated at 4210 Mcknight Rd, in the city of Texarkana, state of TX, with the postal code 755030922.

What is Bernard Charles Bruce's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bernard Charles Bruce is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124173174 to Bernard Charles Bruce?

The Centers for Medicare & Medicaid Services assigned the 1124173174 to Bernard Charles Bruce on 2007-01-23.

As of what date were the Bernard Charles Bruce's details last updated?

The information pertaining to the Bernard Charles Bruce, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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