DANIEL P BRUNNER, M.D., D.D.S. MARIETTA, GA

Contact Information

DANIEL P BRUNNER, M.D., D.D.S.

3535 ROSWELL RD
SUITE 27
MARIETTA, GA 30062-8826

Phone: 770-321-0257
Fax: 770-321-0346
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)

Indicates primary specialty

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NPI Profile & details for DANIEL P BRUNNER · (Male)

NPI #	`1457672958`
Status	Active
Credentials	M.D., D.D.S.
Entity	Individual
Enumeration date	06/18/2010
Last updated	07/22/2019 - About 7 years ago
Sole proprietor ¹	Yes
Identifiers	GA License # 053375 GA License # DN013859 GA Medicaid 402170337B
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DANIEL P BRUNNER, M.D., D.D.S. – NPI #1457672958Oral & Maxillofacial Surgery

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery

NPI Profile & details for DANIEL P BRUNNER · (Male)

Reviews for DANIEL P BRUNNER

DANIEL P BRUNNER, M.D., D.D.S. – NPI #1457672958
Oral & Maxillofacial Surgery