Individual
DR. BRUCE FRANKLIN WHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3309 HEALY DRIVE, STE D, WINSTON SALEM, NC 27103
(336) 760-5768
(336) 760-5768
Mailing address
3309 HEALY DRIVE, STE D, WINSTON SALEM, NC 27103
(336) 760-5768
(336) 760-5768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC5115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC5115
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/02/2006
Last updated
07/08/2007
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