Bruce, George Lyle

Bruce, George Lyle is an individual health care provider with primary practice located at Bldg 2441 21St Street Usa Dentac, Fort Campbell KY 42223-5369. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Bruce, George Lyle can be contacted via phone (270) 798-8614.

Contact Information

Primary practice address
Bldg 2441 21St Street Usa Dentac Fort Campbell KY 42223-5369
Phone: (270) 798-8614
Fax: (270) 798-8633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D6469 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X D6469 Oregon

Profile Details

NPI number 1154301042
LBN Legal business name Bruce, George Lyle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 4th, 2007 - about 18 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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