Individual provider · Type 1 NPI

Bruce Alan Lacoste, DDS

General Practice Dentistry · Kankakee, IL

NPI number 1689792012 Active

Practice location

555 W Court St, Suite #102
Kankakee, IL 60901-3664

Call (815) 932-3822 Map

Fax (815) 937-3524

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1689792012

Bruce Alan Lacoste, DDS's National Provider Identifier is 1689792012, issued on Mar 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kankakee, IL. The record was last updated on Jul 8, 2007.