Provider Demographics
NPI:1013138304
Name:FIELD, BRUCE M (DDS)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:M
Last Name:FIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:325 SOUTHBRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2585
Mailing Address - Country:US
Mailing Address - Phone:508-832-5776
Mailing Address - Fax:508-832-3066
Practice Address - Street 1:325 SOUTHBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2585
Practice Address - Country:US
Practice Address - Phone:508-832-5776
Practice Address - Fax:508-832-3066
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA132231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics