Individual provider · Type 1 NPI

Bruce Enrique Imbacuan, DDS

Dentist · Lakewood, OH

NPI number 1568358323 Active

Practice location

14805 Detroit Ave Ste 515
Lakewood, OH 44107-3921

Mailing address

3659 W 128th St
Cleveland, OH 44111-4524

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X30.027827 (OH)
Dentist Primary 122300000X30.027827 (OH)

Dentist: 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 requiremen…

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About NPI 1568358323

Bruce Enrique Imbacuan, DDS's National Provider Identifier is 1568358323, issued on Jun 17, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lakewood, OH. The record was last updated on Jun 17, 2025.