Overton, Bruce Wayne
Overton, Bruce Wayne is an individual health care provider with primary practice located at 6037 Harbour Park Drive , Midlothian VA 23112. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Overton, Bruce Wayne can be contacted via phone (804) 744-3636.Contact Information
Primary practice address
6037 Harbour Park Drive
Midlothian VA 23112
Phone: (804) 744-3636
Fax: (804) 744-6365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 0401007578 | Virginia |
Profile Details
| NPI number | 1992865604 |
|---|---|
| LBN Legal business name | Overton, Bruce Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| 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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