Provider Demographics
NPI:1497861595
Name:TURNER, BRUCE AUGUST (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:AUGUST
Last Name:TURNER
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 1:820 2ND AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:MN
Mailing Address - Zip Code:56101
Mailing Address - Country:US
Mailing Address - Phone:507-831-1370
Mailing Address - Fax:507-831-5025
Practice Address - Street 1:820 2ND AVENUE NORTH
Practice Address - Street 2:
Practice Address - City:WINDOM
Practice Address - State:MN
Practice Address - Zip Code:56101
Practice Address - Country:US
Practice Address - Phone:507-831-1370
Practice Address - Fax:507-831-5025
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9280122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN48849TUOtherBCBS
009341OtherDORAL DENTAL