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DR. BRUCE DEWAR MCKELVY DDS MSD NPI 1841312667


NPI Information

NPI: 1841312667
Provider Name: DR. BRUCE DEWAR MCKELVY, DDS, MSD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
4466 BLACK AVE STE B
PLEASANTON, CA
ZIP 94566
Phone: (925) 484-0200
Get Directions

DR. Bruce Dewar Mckelvy, DDS, MSD is a periodontics dentist in Pleasanton, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Bruce Dewar Mckelvy, DDS, MSD NPI is 1841312667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4466 BLACK AVE STE B
PLEASANTON, CA
ZIP 94566-130
Phone: (925) 484-0200
Fax: (925) 484-0460

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics26682CALIFORNIAYes

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: 11/14/2023

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