Organization Active NPI

Lisa D. Bruce, DMD, LLC

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1801927223
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LISA D. BRUCE, DMD, LLC
Practice address
8315 Whitesburg Dr S
Huntsville, AL 35802-3007
Phone
(256) 883-6770
Fax
(256) 883-8355
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Lisa Duke Bruce, D.M.D.NPI 1740311281
Title
Doctor Owner
Phone
(256) 883-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AL Primary

Addresses

Primary practice location

8315 Whitesburg Dr S
Huntsville, AL 35802-3007

Mailing address

8315 Whitesburg Dr S
Huntsville, AL 35802-3007
Phone (256) 883-6770

Other names 1

  • Dental Professionals on Whitesburg Doing business as

National Provider Directory

National Provider Directory

Locations

8315 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 883-6770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1801927223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023007",
            "telephone_number": "256-883-6770",
            "fax_number": "256-883-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023007",
            "telephone_number": "256-883-6770",
            "fax_number": "256-883-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA D. BRUCE, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DUKE",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "256-883-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Professionals on Whitesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.