# BRUCE D COLE DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114930617
- **Authorized official:** MRS. SHIRLEY EILEEN COLE (OFFICE MANAGER)
- **Authorized official phone:** (785) 665-7311

## Contact information

- **Practice address:** 306 MAPLE, OVERBROOK, KS 66524-0229
- **Practice address phone:** (785) 665-7311
- **Practice address fax:** (785) 665-7311
- **Mailing address:** PO BOX 229, OVERBROOK, KS 66524-0229
- **Mailing address phone:** (785) 665-7311
- **Mailing address fax:** (785) 665-7311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5173 | KS | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/22/2020