W Bruce Combest PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4573 Issued in KY

Legal business name

W BRUCE COMBEST PSC

Practice address

402 Richmond Rd
Suite C
Berea, KY 40403

Phone

(859) 986-4661

Fax

(859) 986-3579

NPI assigned

Nov 28, 2006

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Bruce Combest, DMDNPI 1518304294

Title

Doctor President

Phone

(859) 986-4661

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Bruce Combest, DMD

  • Dentist
  • Berea, KY
  • NPI 1518304294
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1548336985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RICHMOND RD",
            "address_2": "SUITE C",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "40403",
            "telephone_number": "859-986-4661",
            "fax_number": "859-986-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RICHMOND RD",
            "address_2": "SUITE C",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "40403",
            "telephone_number": "859-986-4661",
            "fax_number": "859-986-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRUCE COMBEST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "COMBEST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "859-986-4661",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4573",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KY",
            "license": "615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Berea, KY
• Providers in Berea, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.