Gallup, Bruce V
Gallup, Bruce V is an individual health care provider with primary practice located at 211 Mount Auburn Ave , Auburn ME 04210-8521. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gallup, Bruce V can be contacted via phone (207) 514-7171.Contact Information
Primary practice address
211 Mount Auburn Ave
Auburn ME 04210-8521
Phone: (207) 514-7171
Fax: (207) 514-7177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3223 | Maine |
Profile Details
| NPI number | 1790788487 |
|---|---|
| LBN Legal business name | Gallup, Bruce V |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Nov 29th, 2012 - about 13 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 | 1790788487 | NPPES |
| Maine | MEDICAID | 269850099 |
Popular Providers
-
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Palian, Charles W
405 Center St Central Maine Oral Surgery, Auburn ME 04210-6135 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329