Provider Demographics
NPI:1962635409
Name:GURSKY, BRUCE ALAN (DDS)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:ALAN
Last Name:GURSKY
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 1:7581 PLAYA RIENTA WAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-4349
Mailing Address - Country:US
Mailing Address - Phone:248-752-3034
Mailing Address - Fax:
Practice Address - Street 1:1952 BAYOU DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1207
Practice Address - Country:US
Practice Address - Phone:248-752-3034
Practice Address - Fax:248-322-4311
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISPCV105219122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist