Bruce K.A. Dormanen, P.A. in Anoka - Orthodontics And Dentofacial Orthopedics
Bruce K.A. Dormanen, P.A. - NPI 1316035595
Bruce K.A. Dormanen, P.A. is a Orthodontics And Dentofacial Orthopedics in Anoka, Minnesota. Bruce K.A. Dormanen, P.A. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bruce K.A. Dormanen, P.A. is 1316035595. The last update date is 2020-08-22.
Bruce K.A. Dormanen, P.A.'s current location address is 2150 3rd Ave Ste 200, Anoka, Minnesota. You can contact this provider via phone number 7634219292 and fax number 7634217559. The mailing address for Bruce K.A. Dormanen, P.A. is 2150 3rd Ave Ste 200, Anoka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce K.A. Dormanen, P.A. |
|---|---|
| Address | 2150 3rd Ave Ste 200, Anoka, Minnesota |
| Phone Number | 7634219292 |
| Fax Number | 7634217559 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Dormanen K.A. Bruce |
| Credentials | D.D.S. |
| Telephone Number | 7634219292 |
NPI Number Detail
| NPI Number | 1316035595 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2150 3rd Ave Ste 200 |
|---|---|
| City | Anoka |
| State | Minnesota (MN) |
| Post Code | 553032200 |
| Phone Number | 7634219292 |
| Fax Number | 7634217559 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8151 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bruce K.A. Dormanen, P.A. by the Centers for Medicare & Medicaid Services?
The Bruce K.A. Dormanen, P.A. has been issued the NPI (National Provider Identifier) 1316035595, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bruce K.A. Dormanen, P.A.'s facilities are situated?
The facilities of Bruce K.A. Dormanen, P.A. are physically located at the following address: 2150 3Rd Ave Ste 200, Anoka, MN, 553032200.
What is Bruce K.A. Dormanen, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bruce K.A. Dormanen, P.A. is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did Bruce K.A. Dormanen, P.A. receive its 1316035595 assignment from the Centers for Medicare & Medicaid Services?
The Bruce K.A. Dormanen, P.A. was assigned its 1316035595 on 2006-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bruce K.A. Dormanen, P.A. most recently updated or revised?
The details related to Bruce K.A. Dormanen, P.A., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.