Provider Demographics
NPI:1053482844
Name:LACHOT, BRUCE J (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:J
Last Name:LACHOT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8535 E HARTFORD DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5444
Mailing Address - Country:US
Mailing Address - Phone:480-515-1000
Mailing Address - Fax:480-515-2857
Practice Address - Street 1:8535 E HARTFORD DR STE 202
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5444
Practice Address - Country:US
Practice Address - Phone:480-515-1000
Practice Address - Fax:480-515-2857
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3112122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist