Provider Demographics
NPI:1184064180
Name:CAIRNS, BRUCE KEVIN (DDS)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:KEVIN
Last Name:CAIRNS
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 1:2043 WESTCLIFF DR.
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5510
Mailing Address - Country:US
Mailing Address - Phone:949-642-6880
Mailing Address - Fax:949-642-3879
Practice Address - Street 1:2043 WESTCLIFF DR.
Practice Address - Street 2:SUITE 216
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5510
Practice Address - Country:US
Practice Address - Phone:949-642-6880
Practice Address - Fax:949-642-3879
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36896122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist