Bruckner, Amber Michelle
Bruckner, Amber Michelle is an individual health care provider with primary practice located at 97 N Main St Ste B , Southampton NY 11968-3300. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bruckner, Amber Michelle can be contacted via phone (631) 287-8687.Contact Information
Primary practice address
97 N Main St Ste B
Southampton NY 11968-3300
Phone: (631) 287-8687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 061951 | New York |
Profile Details
| NPI number | 1376106468 |
|---|---|
| LBN Legal business name | Bruckner, Amber Michelle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2019 |
| Last updated | Mar 18th, 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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