Individual
DR. BRUCE CLAYTON RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 VETERANS BLVD, BRYSON CITY, NC 28713
(828) 488-2211
(828) 488-8237
Mailing address
PO BOX 1129, 150 VETERANS BLVD, BRYSON CITY, NC 28713
(828) 488-2211
(828) 488-8237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990031
—
NC
01
—
90031
BCBS
NC
Enumeration date
12/28/2006
Last updated
07/08/2007
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