NPI 1457672958

Daniel Paul Brunner, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Marietta, GA

Practice location

Address: 3535 Roswell Rd Suite 27, Marietta, GA 30062-8826
Phone: (770) 321-0257
Fax: (770) 321-0346

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 053375 (GA)

Other Oral & Maxillofacial Surgery providers in Georgia →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DN013859 (GA)

Other Dentist providers in Georgia →

Registry record

NPI: 1457672958
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2010
Record last updated: 22 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.