SearchIdahoGeneral Practice Dentistry

Bruce Greenwood, D.M.D

NPI 1386850600 · on the registry since 2007

Practice

Address
125 S. 10th E.
Mountain Home, ID 83647
Phone
(208) 587-4326
Fax
(208) 587-8607
Organisation at this address
Playhouse Dentistry For Kids
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho