Bruce, Jessica Dominique
Bruce, Jessica Dominique is an individual health care provider with primary practice located at 29 Bokum Rd , Chester CT 06412-1339. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Bruce, Jessica Dominique can be contacted via phone (860) 559-9146.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 2.011701 | Connecticut |
Dental Providers / Pediatric Dentistry | 1223P0221X | 11701 | Connecticut |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11701 | Connecticut |
Profile Details
NPI number | 1639585821 |
---|---|
LBN Legal business name | Bruce, Jessica Dominique |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2014 |
Last updated | Aug 26th, 2022 - about 3 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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