| Bruce R. Leger | |
|
91 A Water Street Woods Hole MA 02543-0125 | |
| (508) 548-6655 | |
| (508) 548-1549 |
| Full Name | Bruce R. Leger |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 91 A Water Street, Woods Hole, Massachusetts |
| Authorized Official Name and Position | Bruce Richard Leger (OWNER) |
| Authorized Official Contact | 5085486655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce R. Leger 91 A Water Street P.o. Box 125 Woods Hole MA 02543-0125 Ph: (508) 548-6655 | Bruce R. Leger 91 A Water Street Woods Hole MA 02543-0125 Ph: (508) 548-6655 |
| NPI Number | 1083885248 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083885248 | NPI | - | NPPES |
| 0218545 | Other | MA | MASS HEALTH |
| 9903044 | Other | MA | MASS HEALTH |
| 9793836 | Other | MA | MASS HEALTH |
| 9902996 | Other | MA | MASS HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Woods Hole Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Water St, Woods Hole, MA 02543 Phone: 508-548-6655 |