Canning, Bruce Robert

Canning, Bruce Robert is an individual health care provider with primary practice located at 1177 S Main St , North Canton OH 44720-4200. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Canning, Bruce Robert can be contacted via phone (330) 494-8778.

Contact Information

Primary practice address
1177 S Main St North Canton OH 44720-4200
Phone: (330) 494-8778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X O 13647 Ohio

Profile Details

NPI number 1568585560
LBN Legal business name Canning, Bruce Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568585560 NPPES
Ohio MEDICAID 0202248

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