Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA ALANNA SCULLY BRUNWORTH, D.D.S., M.S.
Active Sole ProprietorDR. JESSICA ALANNA SCULLY BRUNWORTH, D.D.S., M.S. is a Periodontology healthcare provider located in WASHINGTON, Missouri. NPI 1912383217 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WASHINGTON, MO
Registration Details
- NPI Number
- 1912383217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2015 (10.967495075766 yrs)
- Last Updated
- Nov 12, 2018
- Licenses
-
2015023903 (MO)2015023903 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1351 JEFFERSON ST STE 202WASHINGTON, MO, 630906449Browse MO providers · Browse ZIP 63090
- Phone
- 3148840478
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.