Individual provider · Type 1 NPI

Kathy Bruster

Orthodontics and Dentofacial Orthopedics Dentistry · Atlanta, GA

NPI number 1720137029 Active

Practice location

1901 Phoenix Blvd
Atlanta, GA 30349-5588

Mailing address

912 Carriage Path SE
Smyrna, GA 30082-4761

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11406 (GA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1720137029

Kathy Bruster's National Provider Identifier is 1720137029, issued on Jan 9, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.