| Brunswick Family Dentistry | |
|
20 Medical Campus Dr Suite 201 Supply NC 28462-4096 | |
| (910) 755-6788 | |
| (910) 755-6789 |
| Full Name | Brunswick Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 Medical Campus Dr, Supply, North Carolina |
| Authorized Official Name and Position | Brandon E. Devito (MANAGING PARTNER) |
| Authorized Official Contact | 9107556788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Family Dentistry 20 Medical Campus Dr Suite 201 Supply NC 28462-4096 Ph: (910) 755-6788 | Brunswick Family Dentistry 20 Medical Campus Dr Suite 201 Supply NC 28462-4096 Ph: (910) 755-6788 |
| NPI Number | 1144321258 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144321258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7423 (North Carolina) | Primary |
John Romulus Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 988 Ocean Hwy W, Supply, NC 28462 Phone: 910-754-7850 |