Dr Bruce Ray Pett, DDS is a
Dentist - General Practice based in Cambridge, Wisconsin. Dr Bruce Ray Pett is licensed to practice in Wisconsin (license number 1277G) and his current practice location is
113 Spring St, Cambridge, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 423-3012.
NPI number for Dr Bruce Ray Pett is 1306000435 and his current mailing address is Po Box 35, Cambridge, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306000435.
Healthcare Provider's Profile
| Full Name | Dr Bruce Ray Pett |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 113 Spring St, Cambridge, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306000435
- Provider Enumeration Date: 07/17/2008
- Last Update Date: 07/17/2008
Medical Identifiers
Medical identifiers for Dr Bruce Ray Pett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306000435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 1277G (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Ray Pett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Ray Pett, DDS
Po Box 35,
Cambridge, WI 53523
Ph: (608) 423-3012 | Dr Bruce Ray Pett, DDS
113 Spring St,
Cambridge, WI 53523
Ph: (608) 423-3012 |
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