| Kenneth L. Brunson, Dds, Ms, Pc | |
|
1950 Us Highway 51 Byp N Suite A Dyersburg TN 38024-1896 | |
| (731) 285-9657 | |
| (731) 285-0055 |
| Full Name | Kenneth L. Brunson, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1950 Us Highway 51 Byp N, Dyersburg, Tennessee |
| Authorized Official Name and Position | Kenneth L Brunson (DOCTOR/OWNER) |
| Authorized Official Contact | 7312859657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L. Brunson, Dds, Ms, Pc 1950 Us Highway 51 Byp N Suite A Dyersburg TN 38024-1896 Ph: (731) 285-9657 | Kenneth L. Brunson, Dds, Ms, Pc 1950 Us Highway 51 Byp N Suite A Dyersburg TN 38024-1896 Ph: (731) 285-9657 |
| NPI Number | 1912170341 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912170341 | NPI | - | NPPES |
| 18158 | Other | TN | DORAL DENTAL USA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS1826 (Tennessee) | Primary |
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