Riedell, Keith Bruce
Riedell, Keith Bruce is an individual health care provider with primary practice located at 10 Doane St , Bradford MA 01835-7405. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Riedell, Keith Bruce can be contacted via phone (978) 372-6800.Contact Information
Primary practice address
10 Doane St
Bradford MA 01835-7405
Phone: (978) 372-6800
Fax: (978) 372-6222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 15377-1 | Massachusetts |
Profile Details
| NPI number | 1215961529 |
|---|---|
| LBN Legal business name | Riedell, Keith Bruce |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 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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