Brunton, Richard William
Brunton, Richard William is an individual health care provider with primary practice located at 2850 Curve Crest Blvd W , Stillwater MN 55082-4079. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brunton, Richard William can be contacted via phone (651) 351-1010.Contact Information
Primary practice address
2850 Curve Crest Blvd W
Stillwater MN 55082-4079
Phone: (651) 351-1010
Fax: (651) 351-9333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | MN10762 | Minnesota |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4482 | Wisconsin |
Profile Details
| NPI number | 1235128992 |
|---|---|
| LBN Legal business name | Brunton, Richard William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235128992 | NPPES |
| Wisconsin | MEDICAID | 33714200 |
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