Bruick, Dwane Richard
Bruick, Dwane Richard is an individual health care provider with primary practice located at 6405 Georgetown North Blvd , Fort Wayne IN 46815-7007. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bruick, Dwane Richard can be contacted via phone (260) 485-0583.Contact Information
Primary practice address
6405 Georgetown North Blvd
Fort Wayne IN 46815-7007
Phone: (260) 485-0583
Fax: (260) 485-8029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12008370 | Indiana |
Profile Details
| NPI number | 1740255991 |
|---|---|
| LBN Legal business name | Bruick, Dwane Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 8th, 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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