Provider Demographics
NPI:1003017567
Name:BRUCE L SESSION DDS PC
Entity Type:Organization
Organization Name:BRUCE L SESSION DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SESSIONS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-776-3030
Mailing Address - Street 1:1051 WILLOW CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7592
Mailing Address - Country:US
Mailing Address - Phone:303-651-0721
Mailing Address - Fax:303-776-0312
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5536
Practice Address - Country:US
Practice Address - Phone:303-776-3030
Practice Address - Fax:303-776-0312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO66311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty