Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE A BEVERSDORF, DDS
Active Sole ProprietorDR. BRUCE A BEVERSDORF, DDS is a Dentist healthcare provider located in WITTENBERG, Wisconsin. NPI 1770754921 is currently active in the NPPES registry. Verify at CMS.
Dentist · WITTENBERG, WI
Registration Details
- NPI Number
- 1770754921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2008 (18.445903956711 yrs)
- Last Updated
- Mar 17, 2008
- License
-
5002135 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 S CHERRY STWITTENBERG, WI, 54499Browse WI providers · Browse ZIP 54499
- Phone
- 7152532694
- Fax
- 7152533838
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.