Holdorf, Bruce Allen

Holdorf, Bruce Allen is an individual health care provider with primary practice located at 341 Newberry St Nw , Aiken SC 29801. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Holdorf, Bruce Allen can be contacted via phone (803) 649-0044.

Contact Information

Primary practice address
341 Newberry St Nw Aiken SC 29801
Phone: (803) 649-0044
Fax: (803) 643-0570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3111 South Carolina

Profile Details

NPI number 1033148960
LBN Legal business name Holdorf, Bruce Allen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 8th, 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 1033148960 NPPES
Other 972848 UNITED CONCORDIA
MEDICAID Z31118 UNITED CONCORDIA

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