Dr. Gary M Brousell, DDS
Oral & Maxillofacial Surgery in Tinton Falls, New Jersey
1356311302- Practice location
- 21 Gilbert Street, Tinton Falls, NJ 07724
- Phone
- 732-747-0993
- Fax
- 732-747-0961
- Last updated
- June 28, 2012
Gary M Brousell is an Oral & Maxillofacial Surgery based in Tinton Falls, NJ. Gary M Brousell practices in Tinton Falls, NJ and has the professional credentials of DDS. The NPI Number for Gary M Brousell is 1356311302 and holds a License No. 10690 (NJ). The current practice location address for Gary M Brousell is 21 Gilbert Street, Tinton Falls, NJ 07724 and can be reached out via phone at 732-747-0993 and via fax at 732-747-0961.
Provider Profile Details
- NPI Number
- 1356311302
- Provider Name
- Gary M Brousell
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 21 Gilbert Street, Tinton Falls, NJ 07724
- Phone Number
- 732-747-0993
- Fax Number
- 732-747-0961
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 24, 2006
- Last Update Date
- June 28, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Gilbert Street
Tinton Falls, NJ 07724 - City
- Tinton Falls
- State
- New Jersey
- Zip
- 07724
- Phone Number
- 732-747-0993
- Fax Number
- 732-747-0961
Provider Business Mailing Address Details
- Address
- 31 Wardell Cir
Oceanport, NJ 07757-1610 - City
- Oceanport
- State
- NJ
- Zip
- 07757-1610
- Phone Number
- 732-747-0993
- Fax Number
- 732-747-0961
License Information
- License Number (1)
- 10690
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (2)
- 22DI0106000
- License State (2)
- NJ
- Taxonomy (2)
- Oral & Maxillofacial Surgery · 204E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gary M Brousell, DDS?
The NPI number of Dr. Gary M Brousell, DDS is 1356311302. It was assigned on January 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Gary M Brousell, DDS?
Dr. Gary M Brousell, DDS is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NJ under license number 10690.
Where does Dr. Gary M Brousell, DDS practice?
The practice location is 21 Gilbert Street, Tinton Falls, NJ 07724. The office can be reached at 732-747-0993 (phone) or 732-747-0961 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356311302 directly on the NPPES registry website.