Bruce R. Molen, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4033 Issued in WA

Legal business name

BRUCE R. MOLEN, DDS

Practice address

1110 Harvey Rd
Auburn, WA 98002-4218

Phone

(253) 939-2552

Fax

(253) 939-7672

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Shelli Clemens

Title

Financial Coordinator

Phone

(253) 939-2552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316021520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HARVEY RD.",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024218",
            "telephone_number": "253-939-2552",
            "fax_number": "253-939-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HARVEY RD",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024218",
            "telephone_number": "253-939-2552",
            "fax_number": "253-939-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R. MOLEN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "253-939-2552"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarleton Dimaggio Brown, AA, AAC
• Nicole Camille Browne, MHT, RC
• Sarah Marie Brownson-Vermeer
• Katherine Grace Brubaker, HCA
• Bruce J Wandler, MD PS
• Cathleen Brune
• Jarrett Evan Bruno, DO
• Linda L Buchanan
• Whitney Michelle Buckles
• Tracey Bucknor

• Orthodontics and Dentofacial Orthopedics Dentistry in Auburn, WA
• Providers in Auburn, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.