BRUCE D. WATERMAN DMDPA NPI 1013325265

NPI Information

  • NPI: 1013325265
  • Provider Name: BRUCE D. WATERMAN, DMD,PA
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 127 KINGSWAY RD
    BRANDON, FL
    ZIP 33510
  • Phone: (813) 689-8462

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NPI Details

BRUCE D. WATERMAN, DMD,PA is a dental clinic center in Brandon, FL. BRUCE D. WATERMAN, DMD,PA NPI is 1013325265. The provider is registered as an organization entity type.

The provider's business location address is:

127 KINGSWAY RD
BRANDON, FL
ZIP 33510-601
Phone: (813) 689-8462
Fax: (813) 684-5665

The provider's authorized official is Bruce Donald Waterman .
The authorized official title is President and has the following contact phone number (813) 689-8462.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 7/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN9391FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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