Individual provider · Type 1 NPI
Beth Brunner, DMD, MD, PLLC
Oral and Maxillofacial Surgery (Dentist) · Lake Placid, NY
NPI number
1649432139
Active
Practice location
1936 Saranac Ave, Suite 101
Lake Placid, NY 12946-1114
Fax (518) 837-5093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 054553 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1649432139
Beth Brunner, DMD, MD, PLLC's National Provider Identifier is 1649432139, issued on Jun 26, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lake Placid, NY. The record was last updated on Apr 24, 2012.