Manne, Bruce D

Manne, Bruce D is an individual health care provider with primary practice located at 555 W Granada Blvd E2, Ormond Beach FL 32174-9485. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Manne, Bruce D can be contacted via phone (386) 676-0705.

Contact Information

Primary practice address
555 W Granada Blvd E2 Ormond Beach FL 32174-9485
Phone: (386) 676-0705
Fax: (386) 677-9248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN 0008706 Florida

Profile Details

NPI number 1811100514
LBN Legal business name Manne, Bruce D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811100514 NPPES
Florida Other 60327 BC BS

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