Bruce Willis in Yakima - Orthodontics And Dentofacial Orthopedics
Bruce Willis - NPI 1629171889
Bruce Willis is a Orthodontics And Dentofacial Orthopedics in Yakima, Washington. Bruce Willis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bruce Willis is 1629171889. The last update date is 2007-07-08.
Bruce Willis's current location address is 1107 Summitview Ave, Yakima, Washington. You can contact this provider via phone number 5092485181 and fax number 5095757967. The mailing address for Bruce Willis is 1107 Summitview Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Willis |
|---|---|
| Address | 1107 Summitview Ave, Yakima, Washington |
| Phone Number | 5092485181 |
| Fax Number | 5095757967 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1629171889 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1107 Summitview Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989023024 |
| Phone Number | 5092485181 |
| Fax Number | 5095757967 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DE00004817 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce Willis by the Centers for Medicare & Medicaid Services?
The Bruce Willis has been assigned the NPI (National Provider Identifier) 1629171889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Bruce Willis is located?
The Bruce Willis is situated at the following address: 1107 Summitview Ave, Yakima, WA, 989023024.
What is Bruce Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce Willis's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
When did the Bruce Willis receive its 1629171889?
The Bruce Willis was issued its 1629171889 on 2006-09-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Bruce Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.