Bleil, Bruce Thompson

Bleil, Bruce Thompson is an sole proprietor health care provider with primary practice located at 15465 Oak Lane, Ste. 100 - H , Gulfport MS 39503-3524. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bleil, Bruce Thompson can be contacted via phone (228) 832-4450.

Contact Information

Primary practice address
15465 Oak Lane, Ste. 100 - H Gulfport MS 39503-3524
Phone: (228) 832-4450
Fax: (228) 832-4550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1475-72 Mississippi

Profile Details

NPI number 1174792022
LBN Legal business name Bleil, Bruce Thompson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2008
Last updated Jan 20th, 2011 - about 14 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 1174792022 NPPES
Mississippi MEDICAID 01831829

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