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Dr. Bruce Woodruff Anderson, DDS
General Practice Dentistry in Bloomington, Illinois
NPI 1083710404

Bruce Woodruff Anderson is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Bruce Woodruff Anderson practices in Bloomington, IL and has the professional credentials of DDS. The NPI Number for Bruce Woodruff Anderson is 1083710404 and holds a License No. 019-14006 (Illinois).

The current practice location address for Bruce Woodruff Anderson is 2310 E Oakland Ave Ste 13A, Bloomington, IL and can be reached out via phone at 309-662-1612 and via fax at 309-662-0610.

Location: 2310 E Oakland Ave Ste 13A, Bloomington, IL, 61701-5884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083710404
Provider Name
Bruce Woodruff Anderson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2310 E Oakland Ave Ste 13A, Bloomington, IL, 61701-5884
Phone Number
309-662-1612
Fax Number
309-662-0610
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
532725 01 UNITED CONCORDIA PROVIDER
institution
Provider Business Practice Location Address Details
Address
2310 E Oakland Ave Ste 13A
City
Bloomington
State
Illinois
Zip
61701-5884
Phone Number
309-662-1612
Fax Number
309-662-0610
person
Provider Business Mailing Address Details
Address
2310 E Oakland Ave Ste 13A
City
Bloomington
State
Illinois
Zip
61701-5884
Phone Number
309-662-1612
Fax Number
309-662-0610
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-14006 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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