Kenneth L Brunson in Dyersburg - Orthodontics And Dentofacial Orthopedics
Kenneth L Brunson - NPI 1356410039
Kenneth L Brunson is a Orthodontics And Dentofacial Orthopedics in Dyersburg, Tennessee. Kenneth L Brunson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth L Brunson is 1356410039. The last update date is 2007-07-08.
Kenneth L Brunson's current location address is 212 E Court St, Dyersburg, Tennessee. You can contact this provider via phone number 7312859657 and fax number 7312850055. The mailing address for Kenneth L Brunson is 212 E Court St, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth L Brunson |
|---|---|
| Address | 212 E Court St, Dyersburg, Tennessee |
| Phone Number | 7312859657 |
| Fax Number | 7312850055 |
| Sole Proprietor | Y |
| Credentials | DDS.,MS., |
NPI Number Detail
| NPI Number | 1356410039 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 212 E Court St |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380244742 |
| Phone Number | 7312859657 |
| Fax Number | 7312850055 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DS1826 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18158 | TN | DENTAL PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth L Brunson by the Centers for Medicare & Medicaid Services?
The Kenneth L Brunson has been issued the NPI (National Provider Identifier) 1356410039, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth L Brunson's physical address?
The Kenneth L Brunson is physically located at 212 E Court St, in the city of Dyersburg, TN, with the postal code 380244742.
What is Kenneth L Brunson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth L Brunson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356410039 to Kenneth L Brunson?
The Centers for Medicare & Medicaid Services assigned the 1356410039 to Kenneth L Brunson on 2006-11-07.
As of what date were the details pertaining to Kenneth L Brunson last refreshed?
The information related to the Kenneth L Brunson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH