Thomas, Bruce

Thomas, Bruce is an individual health care provider with primary practice located at 220 24Th St South , Wisc Rapids WI 54494. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Thomas, Bruce can be contacted via phone (715) 424-8777.

Contact Information

Primary practice address
220 24Th St South Wisc Rapids WI 54494
Phone: (715) 424-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4114 Wisconsin
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4114 Wisconsin

Profile Details

NPI number 1619077583
LBN Legal business name Thomas, Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1619077583 NPPES
Wisconsin MEDICAID 33748100

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