Dines, Bruce James
Dines, Bruce James is an individual health care provider with primary practice located at 531 Washington St , Watertown NY 13601. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dines, Bruce James can be contacted via phone (315) 788-4740.Contact Information
Primary practice address
531 Washington St
Watertown NY 13601
Phone: (315) 788-4740
Fax: (315) 788-4228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 044613 | New York |
Profile Details
| NPI number | 1871584193 |
|---|---|
| LBN Legal business name | Dines, Bruce James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| 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 | 1871584193 | NPPES |
| New York | MEDICAID | 01407501 |
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