Bruce R Tripp Jr Dds Pa

LBN: Bruce R Tripp Jr Dds Pa
Bruce R Tripp Jr Dds Pa is an health care organization with primary practice located at 5076 Us 264 E , Greenville NC 27834-5804. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty. Bruce R Tripp Jr Dds Pa can be contacted via phone (252) 752-7880, or through Tripp, Bruce Ray via phone (252) 752-7880.

Contact Information

Primary practice address
5076 Us 264 E Greenville NC 27834-5804
Fax: (252) 752-9602
Website:
Authorized official contact:
Name: Tripp, Bruce Ray Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5112 North Carolina
Dental Providers / Dental Hygienist 124Q00000X North Carolina

Profile Details

NPI number 1699047167
LBN Legal business name Bruce R Tripp Jr Dds Pa
DBA Doing business as
Authorized official Tripp, Bruce Ray Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2012
Last updated Aug 9th, 2013 - about 12 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 1699047167 NPPES
North Carolina MEDICAID 5919749

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