Bruce D. Waterman, DMD,PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN9391 Issued in FL

Legal business name

BRUCE D. WATERMAN, DMD,PA

Practice address

127 Kingsway Rd
Brandon, FL 33510-4601

Phone

(813) 689-8462

Fax

(813) 684-5665

NPI assigned

Jul 31, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Donald Waterman, DMD

Title

President

Phone

(813) 689-8462

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1013325265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGSWAY RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104601",
            "telephone_number": "813-689-8462",
            "fax_number": "813-684-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 KINGSWAY RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104601",
            "telephone_number": "813-689-8462",
            "fax_number": "813-684-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. WATERMAN, DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-8462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN9391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Brown
• Thraese Brown, ARNP-C
• Kharene Browne
• Thelma Broxey-Thomas
• Kayla Brubaker, MD
• Bruce Waterman DMD, Sleep Ez,PL
• Charlotte D Bruce, LPTA
• David Bruck, DDS
• Robert Alan Brummett
• Aniette NMN Bruzos de Logorz, RN

• Dental Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.