Mahaffey, Bruce M.

Mahaffey, Bruce M. is an individual health care provider with primary practice located at 8805 Sw 144Th St , Village Of Palmetto Bay FL 33176-7218. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mahaffey, Bruce M. can be contacted via phone (305) 253-6944.

Contact Information

Primary practice address
8805 Sw 144Th St Village Of Palmetto Bay FL 33176-7218
Phone: (305) 253-6944
Fax: (605) 251-9989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5808 Florida

Profile Details

NPI number 1003871781
LBN Legal business name Mahaffey, Bruce M.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003871781 NPPES
Florida MEDICAID 70054

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