Bruder, George Anthony

Bruder, George Anthony is an individual health care provider with primary practice located at Stony Brook Dental Associates Inc Sullivan Hall - Room 170 - Faculty Practice, Stony Brook NY 11794-8705. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bruder, George Anthony can be contacted via phone (631) 632-8971.

Contact Information

Primary practice address
Stony Brook Dental Associates Inc Sullivan Hall - Room 170 - Faculty Practice Stony Brook NY 11794-8705
Phone: (631) 632-8971
Fax: (631) 632-7658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 50 050928 New York

Profile Details

NPI number 1780868430
LBN Legal business name Bruder, George Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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