Brunner, Daniel Paul

Brunner, Daniel Paul is an sole proprietor health care provider with primary practice located at 3535 Roswell Rd Suite 27, Marietta GA 30062-8826. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Brunner, Daniel Paul can be contacted via phone (770) 321-0257.

Contact Information

Primary practice address
3535 Roswell Rd Suite 27 Marietta GA 30062-8826
Phone: (770) 321-0257
Fax: (770) 321-0346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN013859 Georgia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 053375 Georgia

Profile Details

NPI number 1457672958
LBN Legal business name Brunner, Daniel Paul
Credentials M.D., D.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2010
Last updated Jul 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457672958 NPPES
Georgia MEDICAID 402170337B

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