Individual
BRUCE C GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1759 CREIGHTON RD, PENSACOLA, FL 32504-7145
(850) 476-4283
(850) 476-9709
Mailing address
1759 CREIGHTON RD, PENSACOLA, FL 32504-7145
(850) 476-4283
(850) 476-9709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789977
UNITED CONCORDIA
—
01
—
83485
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/05/2006
Last updated
06/16/2008
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