Brown, Bruce R

Brown, Bruce R is an individual health care provider with primary practice located at 14 Roosevelt Ave , Port Jefferson Station NY 11776-3337. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Brown, Bruce R can be contacted via phone (631) 476-4364.

Contact Information

Primary practice address
14 Roosevelt Ave Port Jefferson Station NY 11776-3337
Phone: (631) 476-4364
Fax: (631) 474-0998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 031788 New York

Profile Details

NPI number 1760514863
LBN Legal business name Brown, Bruce R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 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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