Kennedy, Bruce Edward
Kennedy, Bruce Edward is an individual health care provider with primary practice located at 435 Pine St , Rochester MI 48307-1933. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Bruce Edward can be contacted via phone (248) 652-9116.Contact Information
Primary practice address
435 Pine St
Rochester MI 48307-1933
Phone: (248) 652-9116
Fax: (248) 652-3136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13236 | Michigan |
Profile Details
| NPI number | 1770635658 |
|---|---|
| LBN Legal business name | Kennedy, Bruce Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 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 | 1770635658 | NPPES |
| Michigan | Other | 13236 | DENTAL |
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