DR. BRUCE WALDO SHRIVER


Address: 422 E Peru St, Princeton, IL 61356
Phone: 8158752742

DR. BRUCE WALDO SHRIVER (NPI# 1427138247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427138247
Entity Type Individual
Full Name DR. BRUCE WALDO SHRIVER
Credential DDS
Practice Address 422 E Peru St
Princeton
IL 61356
Practice Telephone 8158752742
Mailing Telephone 8158752742
Enumeration Date 2006-10-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist IL Dental Providers

Office Location

Street Address 422 E PERU ST
City PRINCETON
State IL
Zip Code 61356

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NPI Name Taxonomy Address Enumeration
1548698558 Shelley Gorenz Counselor 1009 S. Main St., Princeton, IL 61356 2013-10-30
1780016626 Jennifer Phillips Pharmacist 610 N. Main St., Princeton, IL 61356 2013-08-02
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1306014196 Lifefit Physical Rehab, Ltd. Clinic/Center 1225 N. Sixth St., Princeton, IL 61356 2008-02-14
1568669778 Hawthorne Inn Supportive Living Facility Assisted Living Facility 136 N. Sixth St., Princeton, IL 61356 2007-06-29
1720209240 Michelle Lee Mortensen Music Therapist 816 S. First St., Princeton, IL 61356 2007-05-01
1073733465 Jarred Allen Farrell Chiropractor 682 East Peru Street, Princeton, IL 61356 2007-04-26
1952488397 Donald R Marion Optometrist 2 Park Avenue West, Princeton, IL 61356 2006-11-01
1871689612 Jason A Monroe Dentist 334 Backbone Rd East, Princeton, IL 61356 2006-10-05
1447362629 Paul Thomas Castelein Dentist 129 North Main Street, Princeton, IL 61356 2006-08-31
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104359967 Amar Dental Associates LLC Dentist 870 Mapleton Rd, Princeton, NJ 08540-9538 2017-04-09
1548700669 Matthew Raymond Montenero Dentist 301 N Harrison St Ste F, Princeton, NJ 08540 2017-03-08
1518383900 Jacqueline Milone Dentist 601 Ewing St Ste B4, Princeton, NJ 08540-2755 2014-03-10
1992128979 Rui Sergio Seu Dds PC Dentist 33 Caroline Dr, Princeton, NJ 08540 2014-01-28
1164865002 Prime Dental Care LLC Dentist 417 Wall St, Princeton, NJ 08540-1504 2013-04-10
1265731020 Nesrine Bestandji Dentist 100 Canal Pointe Blvd Ste 116, Princeton, NJ 08540-7123 2011-03-19
1821254111 Reena Goyal Dentist 28 Caleb Ln, Princeton, NJ 08540-6136 2008-08-06
1053588616 Charles H Mann Dentist 801 Stafford Dr, Princeton, WV 24740 2008-05-13
1700084118 Ashley Marie Pagana Dentist 29 Emmons Dr Ste C80, Princeton, NJ 08540-5983 2007-07-06
1700097631 T.l.conklin, Dds, Inc. Dentist 201 Locust Street, Princeton, WV 24740 2007-05-24
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Competitor

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City PRINCETON
Zip Code 61356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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