National Provider Identifier Database

BRUCE THOMAS, DDS – NPI #1619077583
Oral & Maxillofacial Surgery


Contact Information

BRUCE THOMAS, DDS
220 24TH ST SOUTH
Wisconsin Rapids, WI54494
Phone: 715-424-8777
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for BRUCE THOMAS

NPI Number 1619077583
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • WI License #: 4114
  • WI Medicaid: 33748100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BRUCE THOMAS, DDS

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