Individual provider · Type 1 NPI
Daniel Bradley Bruin, DMD MS
Periodontics · Rolla, MO
NPI number
1851730923
Active
Practice location
1811 Martin Springs Dr Ste A
Rolla, MO 65401-2978
Mailing address
6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN20166 (FL) |
| Periodontics | 1223P0300X | 2023018477 (MO) |
| Periodontics Primary | 1223P0300X | DN20166 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Rolla
About NPI 1851730923
Daniel Bradley Bruin, DMD MS's National Provider Identifier is 1851730923, issued on Jun 21, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Rolla, MO. The record was last updated on Aug 19, 2026.