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

Primary practice address
29 Bokum Rd Chester CT 06412-1339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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