Kenneth L. Brunson, Dds, Ms, Pc in Dyersburg - Orthodontics And Dentofacial Orthopedics
Kenneth L. Brunson, Dds, Ms, Pc - NPI 1912170341
Kenneth L. Brunson, Dds, Ms, Pc is a Orthodontics And Dentofacial Orthopedics in Dyersburg, Tennessee. Kenneth L. Brunson, Dds, Ms, Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth L. Brunson, Dds, Ms, Pc is 1912170341. The last update date is 2008-04-07.
Kenneth L. Brunson, Dds, Ms, Pc's current location address is 1950 Us Highway 51 Byp N, Dyersburg, Tennessee. You can contact this provider via phone number 7312859657 and fax number 7312850055. The mailing address for Kenneth L. Brunson, Dds, Ms, Pc is 1950 Us Highway 51 Byp N, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth L. Brunson, Dds, Ms, Pc |
|---|---|
| Address | 1950 Us Highway 51 Byp N, Dyersburg, Tennessee |
| Phone Number | 7312859657 |
| Fax Number | 7312850055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR/OWN |
|---|---|
| Authorized Official Name | Brunson L Kenneth |
| Credentials | DDS, MS |
| Telephone Number | 7312859657 |
NPI Number Detail
| NPI Number | 1912170341 |
|---|---|
| Provider Enumeration Date | 2008-04-07 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 1950 Us Highway 51 Byp N |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380241896 |
| Phone Number | 7312859657 |
| Fax Number | 7312850055 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DS1826 |
|
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 | DORAL DENTAL USA |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth L. Brunson, Dds, Ms, Pc by the Centers for Medicare & Medicaid Services?
The Kenneth L. Brunson, Dds, Ms, Pc has been issued the NPI (National Provider Identifier) 1912170341. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth L. Brunson, Dds, Ms, Pc's facilities are geographically located?
The facilities of Kenneth L. Brunson, Dds, Ms, Pc are physically situated at the following location: 1950 Us Highway 51 Byp N, Dyersburg, TN, 380241896.
What is Kenneth L. Brunson, Dds, Ms, Pc'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, Dds, Ms, Pc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
When was the Kenneth L. Brunson, Dds, Ms, Pc's 1912170341 issued?
The Kenneth L. Brunson, Dds, Ms, Pc's 1912170341 was issued on 2008-04-07.
As of what date was the information pertaining to Kenneth L. Brunson, Dds, Ms, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth L. Brunson, Dds, Ms, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-07.
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