Dr. Bruce Woodruff Anderson , DDS
Dentist - General Practice • Bloomington, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Anderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Bruce Anderson, DDS was a registered Dentist - General Practice practicing in Bloomington, IL. Throughout an active medical career spanning 20 years, Dr. Anderson provided care at the practice location at 2310 E OAKLAND AVE STE 13A until profile deactivation on 2026-03-05.
Practice Location & Contact Primary Location
2310 E Oakland Ave Ste 13a
Bloomington, IL 617015884
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Bloomington, IL
Practicing in Bloomington, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 05, 2026
NPI status registered as active in NPPES database
Registered at 2310 E OAKLAND AVE STE 13A, BLOOMINGTON, IL 617015884 (Tel: 3096621612)
Registered at 2310 E OAKLAND AVE STE 13A, BLOOMINGTON, IL 617015884 (Tel: 3096621612)
Recorded as BRUCE ANDERSON, DDS
Dentist (License #019-14006 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2310 E Oakland Ave Ste 13a
Bloomington, IL 617015884
Phone: 3096621612
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