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NPI Code Detail

MEDICARE: DR. BRUCE M POPE DDS

MEDICARE:  DR. BRUCE M POPE  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry29423CA

General Provider Information

NPI Number : 1538162425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE M POPE DDS
Provider Business Mailing Address
First Line : 9900 LARKIN RD
Second Line :
City : LIVE OAK
State : CA
Zip : 95953-2442
Country : US
Telephone Number : 530-695-1884
Fax Number : 530-695-1994
Provider Business Practice Location Address
First Line : 9900 LARKIN RD
Second Line :
City : LIVE OAK
State : CA
Zip : 95953-2442
Country : US
Telephone Number : 530-695-1884
Fax Number : 530-695-1994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/11/2019

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Directions to “ DR. BRUCE M POPE DDS” Practice Location

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