Dr. Bruce Taber D.D.S Inc

Primary specialty

DentistTaxonomy code 122300000X

License

34906 Issued in CA

Legal business name

DR. BRUCE TABER D.D.S INC

Practice address

11175 Mountain View Ave
Suite N
Loma Linda, CA 92354-3865

Phone

(909) 796-2299

Fax

(909) 796-2509

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Lee Taber, D.D.S

Title

Dentist

Phone

(909) 796-2299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1538368154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 MOUNTAIN VIEW AVE",
            "address_2": "SUITE N",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543865",
            "telephone_number": "909-796-2299",
            "fax_number": "909-796-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 MOUNTAIN VIEW AVE",
            "address_2": "SUITE N",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543865",
            "telephone_number": "909-796-2299",
            "fax_number": "909-796-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRUCE TABER D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "TABER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-796-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Loma Linda, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.