Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH L BRUNSON, DDS.,MS.
Active Sole ProprietorDR. KENNETH L BRUNSON, DDS.,MS. is a Orthodontics healthcare provider located in DYERSBURG, Tennessee. NPI 1356410039 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · DYERSBURG, TN
Registration Details
- NPI Number
- 1356410039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.725526577933 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS1826 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 E COURT STDYERSBURG, TN, 380244742Browse TN providers · Browse ZIP 38024
- Phone
- 7312859657
- Fax
- 7312850055
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.