Blanchard, Bruce Alan

Blanchard, Bruce Alan is an individual health care provider with primary practice located at 5501 Woodside Ave , Myrtle Beach SC 29577-2243. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Blanchard, Bruce Alan can be contacted via phone (843) 449-5035.

Contact Information

Primary practice address
5501 Woodside Ave Myrtle Beach SC 29577-2243
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2973 South Carolina

Profile Details

NPI number 1275682544
LBN Legal business name Blanchard, Bruce Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275682544 NPPES
South Carolina MEDICAID ZA9831

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