Brunner, Mark A

Brunner, Mark A is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Dr. Gc-1333, Augusta GA 30327-3007. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Brunner, Mark A can be contacted via phone (706) 721-2442.

Contact Information

Primary practice address
1430 John Wesley Gilbert Dr. Gc-1333 Augusta GA 30327-3007
Phone: (706) 721-2442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12499 Georgia

Profile Details

NPI number 1891714135
LBN Legal business name Brunner, Mark A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 19th, 2017 - about 7 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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