Eric W. Brust Dds Pc in Taylor - Orthodontics And Dentofacial Orthopedics

Eric W. Brust Dds Pc - NPI 1174695522

Eric W. Brust Dds Pc is a Orthodontics And Dentofacial Orthopedics in Taylor, Michigan. Eric W. Brust Dds Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Eric W. Brust Dds Pc is 1174695522. The last update date is 2014-10-22.

Eric W. Brust Dds Pc's current location address is 10460 Pelham Rd, Taylor, Michigan. You can contact this provider via phone number 3132999700 and fax number 3132999951. The mailing address for Eric W. Brust Dds Pc is 10460 Pelham Rd, Taylor, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eric W. Brust Dds Pc
Address 10460 Pelham Rd, Taylor, Michigan
Phone Number 3132999700
Fax Number 3132999951
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Brust W Eric
Credentials DDS MS
Telephone Number 3132999700

NPI Number Detail

NPI Number 1174695522
Provider Enumeration Date 2006-11-14
Last Updated Date 2014-10-22

Provider Mailing Address Detail

Address 10460 Pelham Rd
City Taylor
State Michigan (MI)
Post Code 481803828
Phone Number 3132999700
Fax Number 3132999951

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 15547
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
123042560 MI CSHCS
193998 MI UNITED CONCORDIA

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FAQs about Eric W. Brust Dds Pc

What is the unique 10-digit identification code assigned to Eric W. Brust Dds Pc by the Centers for Medicare & Medicaid Services?

The Eric W. Brust Dds Pc has been issued the NPI (National Provider Identifier) 1174695522, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Eric W. Brust Dds Pc is geographically located?

The Eric W. Brust Dds Pc is physically situated at the following location: 10460 Pelham Rd, Taylor, MI, 481803828.

What is Eric W. Brust Dds Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eric W. Brust Dds Pc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.

When did Eric W. Brust Dds Pc receive its 1174695522 assignment?

The Eric W. Brust Dds Pc was assigned its 1174695522 on 2006-11-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Eric W. Brust Dds Pc last refreshed?

The information related to the Eric W. Brust Dds Pc, including its address, specialty, and other relevant details, was last updated on 2014-10-22.

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