Deckler, Bruce Lenid
Deckler, Bruce Lenid is an individual health care provider with primary practice located at 11708 Hillside Ave , Richmond Hill NY 11418-1743. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Deckler, Bruce Lenid can be contacted via phone (718) 849-7983.Contact Information
Primary practice address
11708 Hillside Ave
Richmond Hill NY 11418-1743
Phone: (718) 849-7983
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 042555-1 | New York |
Profile Details
| NPI number | 1639141021 |
|---|---|
| LBN Legal business name | Deckler, Bruce Lenid |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639141021 | NPPES |
| New York | MEDICAID | 01375548 |
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