Provider Demographics
NPI:1679017354
Name:BRUCE A SMOLER DDS PLLC
Entity Type:Organization
Organization Name:BRUCE A SMOLER DDS PLLC
Other - Org Name:COMMUNITY DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMOLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-728-5600
Mailing Address - Street 1:820 N WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3632
Mailing Address - Country:US
Mailing Address - Phone:734-728-5600
Mailing Address - Fax:734-728-1656
Practice Address - Street 1:820 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3632
Practice Address - Country:US
Practice Address - Phone:734-728-5600
Practice Address - Fax:734-728-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty