Bragdon, Bruce R
Bragdon, Bruce R is an sole proprietor health care provider with primary practice located at 10 Mathes Ter , Durham NH 03824-2302. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bragdon, Bruce R can be contacted via phone (603) 868-5129.Contact Information
Primary practice address
10 Mathes Ter
Durham NH 03824-2302
Phone: (603) 868-5129
Fax: (603) 868-5142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1375 | New Hampshire |
Profile Details
| NPI number | 1891737599 |
|---|---|
| LBN Legal business name | Bragdon, Bruce R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | May 29th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891737599 | NPPES |
| New Hampshire | MEDICAID | 89191854 |
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