Kurt Bruksch in Crystal Lake - Oral And Maxillofacial Surgery
Kurt Bruksch - NPI 1154339448
Kurt Bruksch is a Oral And Maxillofacial Surgery in Crystal Lake, Illinois. Kurt Bruksch practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kurt Bruksch is 1154339448. The last update date is 2010-06-23.
Kurt Bruksch's current location address is 690 North Route #31, Crystal Lake, Illinois. You can contact this provider via phone number 8154595600 and fax number 8154595601. The mailing address for Kurt Bruksch is 690 North Route #31, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kurt Bruksch |
|---|---|
| Address | 690 North Route #31, Crystal Lake, Illinois |
| Phone Number | 8154595600 |
| Fax Number | 8154595601 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154339448 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2010-06-23 |
Provider Mailing Address Detail
| Address | 690 North Route #31 |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 60012 |
| Phone Number | 8154595600 |
| Fax Number | 8154595601 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 19018137 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kurt Bruksch?
The Kurt Bruksch has been issued the NPI (National Provider Identifier) 1154339448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kurt Bruksch?
The Kurt Bruksch is situated at 690 North Route #31, in the city of Crystal Lake, state of IL, with the zip code 60012.
What is Kurt Bruksch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kurt Bruksch is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Kurt Bruksch receive its 1154339448 assignment from the Centers for Medicare & Medicaid Services?
The Kurt Bruksch was assigned its 1154339448 by the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details related to Kurt Bruksch most recently updated or revised?
The information pertaining to Kurt Bruksch, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-23.
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