Provider Demographics
NPI:1871879726
Name:TOFTELAND, BRUCE C (DDS)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:C
Last Name:TOFTELAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 GATEWAY DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3512
Mailing Address - Country:US
Mailing Address - Phone:701-232-1664
Mailing Address - Fax:701-232-1664
Practice Address - Street 1:1338 GATEWAY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3512
Practice Address - Country:US
Practice Address - Phone:701-232-1664
Practice Address - Fax:701-232-1664
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist