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Contact Information

BRUCE R PETT, DDS
113 SPRING ST
CAMBRIDGE, WI53523
 Phone: 608-423-3012
 Fax: 608-423-9685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BRUCE R PETT · (Male)

NPI Number 1306000435
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/17/2008
Last updated 07/17/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1277G
Hospital affiliation(s) Not Available
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.

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