Blanchard, Bruce Alan
Blanchard, Bruce Alan is an individual health care provider with primary practice located at 5501 Woodside Ave , Myrtle Beach SC 29577-2243. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Blanchard, Bruce Alan can be contacted via phone (843) 449-5035.Contact Information
Primary practice address
5501 Woodside Ave
Myrtle Beach SC 29577-2243
Phone: (843) 449-5035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2973 | South Carolina |
Profile Details
| NPI number | 1275682544 |
|---|---|
| LBN Legal business name | Blanchard, Bruce Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275682544 | NPPES |
| South Carolina | MEDICAID | ZA9831 |
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