Bruce M Pope, DDS
Individual provider Active NPI General Practice Dentistry · Live Oak, CA
NPI 1538162425 · NPPES record last updated Jul 11, 2019
Key facts
- NPI
- 1538162425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 29423 (CA)
- Practice address
- 9900 Larkin Rd
Live Oak, CA 95953-2442 - Phone
- (530) 695-1884
- Fax
- (530) 695-1994
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29423 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29423 | CA | Yes |
Addresses
Primary practice location
9900 Larkin Rd
Live Oak, CA 95953-2442
Mailing address
9900 Larkin Rd
Live Oak, CA 95953-2442
Phone (530) 695-1884
Other providers in Live Oak, CA
- Melandie Murray
- Alyssa Marie Palacio
- Peach Tree Healthcare
- Clarissa Katherine Pfister
- Richard Wilson Pham
- Ariana Bailey Ramirez
- Violeta Raquel Ramirez
- Vanessa Joanna Rico
- Alma Rodarte
- Destiny Rose Rower
All providers in Live Oak, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.