DR. JEREMY ALAN BRUNER DDS NPI 1770772758

NPI Information

  • NPI: 1770772758
  • Provider Name: DR. JEREMY ALAN BRUNER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 101 BODIN CIR
    TRAVIS AFB, CA
    ZIP 94535
  • Phone: (707) 423-7001

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NPI Details

DR. Jeremy Alan Bruner, DDS is a general practice dentist in Travis Afb, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jeremy Alan Bruner, DDS NPI is 1770772758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 BODIN CIR
TRAVIS AFB, CA
ZIP 94535-809
Phone: (707) 423-7001

The enumeration date for this NPI number is 10/16/2007 and was last updated on 10/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice23591TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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