Fay, Bruce G
Fay, Bruce G is an individual health care provider with primary practice located at 900 Foulk Rd Suite 203, Wilmington DE 19803-3155. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fay, Bruce G can be contacted via phone (302) 778-3822.Contact Information
Primary practice address
900 Foulk Rd Suite 203
Wilmington DE 19803-3155
Phone: (302) 778-3822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | G1-0000981 | Delaware |
Profile Details
| NPI number | 1205914652 |
|---|---|
| LBN Legal business name | Fay, Bruce G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1205914652 | NPPES |
| Delaware | MEDICAID | 0000893108 |
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