IndividualActive
Bruce Bleil, D.M.D.
NPI 1174792022 · Orthodontics and Dentofacial Orthopedics Dentistry · Gulfport, MS
Provider details
- NPI number
- 1174792022
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1475-72 (MS)
Specialties & taxonomies
Dental Providers
Practice location
15465 Oak Lane, Ste. 100 - H
Gulfport, MS 39503-3524
Phone: (228) 832-4450
Fax: (228) 832-4550
Approximate (ZIP-level) locationGet directions
Mailing address
12210 Lake Forest Dr
Gulfport, MS 39503-5603
Registry dates
- Enumerated
- 2008-02-25
- Last updated
- 2011-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.