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Contact Information

GEORGE L BRUCE, DMD
BLDG 2441 21ST STREET
USA DENTAC
FORT CAMPBELL, KY42223-5369
 Phone: 270-798-8614
 Fax: 270-798-8633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GEORGE L BRUCE · (Male)

NPI # 1154301042
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/18/2006
Last updated 10/04/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D6469
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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