Nixon, Bruce Frederick

Nixon, Bruce Frederick is an individual health care provider with primary practice located at 3430 Colby Ave , Everett WA 98201-4710. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nixon, Bruce Frederick can be contacted via phone (425) 259-6551.

Contact Information

Primary practice address
3430 Colby Ave Everett WA 98201-4710
Fax: (425) 258-0477
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00004521 Washington

Profile Details

NPI number 1992799324
LBN Legal business name Nixon, Bruce Frederick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
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 1992799324 NPPES
Washington Other 5516000 DEPT OF SOCIAL & HEALTH

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