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DR. GEORGE ANTHONY BRUDER D.M.D. NPI 1780868430


NPI Information

NPI: 1780868430
Provider Name: DR. GEORGE ANTHONY BRUDER, D.M.D.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
STONY BROOK DENTAL ASSOCIATES INC
SULLIVAN HALL - ROOM 170 - FACULTY PRACTICE
STONY BROOK, NY
ZIP 11794
Phone: (631) 632-8971
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DR. George Anthony Bruder, D.M.D. is an endodontics dentist in Stony Brook, NY. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. George Anthony Bruder, D.M.D. NPI is 1780868430. 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:

STONY BROOK DENTAL ASSOCIATES INC
SULLIVAN HALL - ROOM 170 - FACULTY PRACTICE
STONY BROOK, NY
ZIP 11794-705
Phone: (631) 632-8971
Fax: (631) 632-7658

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics50 050928NEW YORKYes

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: 4/28/2024

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