Provider Demographics
NPI:1265653588
Name:BRUCE M FIELD DDS PC
Entity type:Organization
Organization Name:BRUCE M FIELD DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-832-5776
Mailing Address - Street 1:325 SOUTHBRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2585
Mailing Address - Country:US
Mailing Address - Phone:508-832-5776
Mailing Address - Fax:508-832-3066
Practice Address - Street 1:325 SOUTHBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2585
Practice Address - Country:US
Practice Address - Phone:508-832-5776
Practice Address - Fax:508-832-3066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA132231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty