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Individual
DR. BRUCE JOEL SAILOR
Active
Individual
DR. BRUCE JOEL SAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS017521L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054393
BLUE SHIELD
—
01
—
113237
CIGNA
—
01
—
1152
AMERICAN ASSOC OF ENDODON
—
01
—
1560
AETNA DMO
—
01
—
5728
PENNSYLVANIA DENTAL ASSOC
—
01
—
89839
AETNA
—
01
—
DS017521L
STATE LICENSE
—
Enumeration date
08/07/2006
Last updated
03/07/2023
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