Bruce B. Wiland, Dds, Msd

LBN: Bruce B. Wiland, Dds, Msd
Bruce B. Wiland, Dds, Msd is an health care organization with primary practice located at 3415 S Lafountain St Ste K , Kokomo IN 46902-3827. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Bruce B. Wiland, Dds, Msd can be contacted via phone (765) 864-0700, or through Wiland, Bruce via phone (765) 864-0700.

Contact Information

Primary practice address
3415 S Lafountain St Ste K Kokomo IN 46902-3827
Phone: (765) 864-0700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiland, Bruce DDS, MSD
Phone: (765) 864-0700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12008945 Indiana

Profile Details

NPI number 1366697070
LBN Legal business name Bruce B. Wiland, Dds, Msd
DBA Doing business as
Authorized official Wiland, Bruce DDS, MSD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2008
Last updated Nov 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366697070 NPPES
Indiana MEDICAID 100132270

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