Organization
THOMAS B. BRUFF, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LYNN THOMAS (OFFICE MANAGER)
(910) 762-3393
Entity
Organization
Contact information
Practice address
1307 MEDICAL CENTER DR, WILMINGTON, NC 28401-7502
(910) 762-3393
(910) 762-9610
Mailing address
1307 MEDICAL CENTER DR, WILMINGTON, NC 28401-7502
(910) 762-3393
(910) 762-9610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000124735
UNITED CONCORDIA
NC
05
—
7991156
—
NC
01
—
91156
BCBS
NC
Enumeration date
07/22/2008
Last updated
07/22/2008
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