Bruce Thompson Bleil in Gulfport - Orthodontics And Dentofacial Orthopedics
Bruce Thompson Bleil - NPI 1174792022
Bruce Thompson Bleil is a Orthodontics And Dentofacial Orthopedics in Gulfport, Mississippi. Bruce Thompson Bleil practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bruce Thompson Bleil is 1174792022. The last update date is 2011-01-20.
Bruce Thompson Bleil's current location address is 15465 Oak Lane, Ste. 100 - H, Gulfport, Mississippi. You can contact this provider via phone number 2288324450 and fax number 2288324550. The mailing address for Bruce Thompson Bleil is 15465 Oak Lane, Ste. 100 - H, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Thompson Bleil |
|---|---|
| Address | 15465 Oak Lane, Ste. 100 - H, Gulfport, Mississippi |
| Phone Number | 2288324450 |
| Fax Number | 2288324550 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1174792022 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2011-01-20 |
Provider Mailing Address Detail
| Address | 15465 Oak Lane, Ste. 100 - H |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395033524 |
| Phone Number | 2288324450 |
| Fax Number | 2288324550 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 1475-72 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1831829 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bruce Thompson Bleil by the Centers for Medicare & Medicaid Services?
The Bruce Thompson Bleil has been issued the NPI (National Provider Identifier) 1174792022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bruce Thompson Bleil?
The Bruce Thompson Bleil is situated at 15465 Oak Lane, Ste. 100 - H, in the city of Gulfport, state of MS, with the zip code 395033524.
What is Bruce Thompson Bleil's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce Thompson Bleil is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174792022 to Bruce Thompson Bleil?
The Bruce Thompson Bleil received its 1174792022 assignment from the Centers for Medicare & Medicaid Services on 2008-02-25.
As of what date were the Bruce Thompson Bleil's details last updated?
The information pertaining to the Bruce Thompson Bleil, including its address, specialty, and other details, was most recently updated on 2011-01-20.