Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BETH BRUNNER, DMD, MD, PLLC
Active Sole ProprietorDR. BETH BRUNNER, DMD, MD, PLLC is a Oral & Maxillofacial Surgery healthcare provider located in LAKE PLACID, New York. NPI 1649432139 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LAKE PLACID, NY
Registration Details
- NPI Number
- 1649432139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2008 (18.17732147238 yrs)
- Last Updated
- Apr 24, 2012
- License
-
054553 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1936 SARANAC AVESUITE 101LAKE PLACID, NY, 129461114Browse NY providers · Browse ZIP 12946
- Phone
- 5188375019
- Fax
- 5188375093
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.