Individual provider · Type 1 NPI

Staci Brunell, DMD

Pediatric Dentistry · Yorktown Heights, NY

NPI number 1306366083 Active

Practice location

1974 Maple Hill St # A
Yorktown Heights, NY 10598-4190

Other practice locations

  • 4422 Third Ave, Department Of Dentistry, Bronx, NY 10457 · (718) 960-9000

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X059881 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X059881 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1306366083

Staci Brunell, DMD's National Provider Identifier is 1306366083, issued on Jun 22, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Yorktown Heights, NY. The record was last updated on Sep 11, 2020.