Active NPIIndividual providerSole proprietor

Dr. Jill S Brueckner, DMD

Dentist, General Practice in Florham Park, New Jersey

NPI Number1376668418
Practice location
66 Ridgedale Ave, Florham Park, NJ 07932-2006
Fax
973-377-4721
Last updated
July 8, 2007

Jill S Usan Brueckner is a Dentist, General Practice based in Florham Park, NJ. Jill S Usan Brueckner practices in Florham Park, NJ and has the professional credentials of DMD. The NPI Number for Jill S Usan Brueckner is 1376668418 and holds a License No. DI16076 (NJ). The current practice location address for Jill S Usan Brueckner is 66 Ridgedale Ave, Florham Park, NJ 07932-2006 and can be reached out via phone at 973-377-1174 and via fax at 973-377-4721.

Provider Profile Details

NPI Number
1376668418
Provider Name
Jill S Usan Brueckner
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
66 Ridgedale Ave, Florham Park, NJ 07932-2006
Phone Number
973-377-1174
Fax Number
973-377-4721
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Ridgedale Ave
Florham Park, NJ 07932-2006
Zip
07932-2006
Phone Number
973-377-1174
Fax Number
973-377-4721
Florham Park, NJ 07932Get directions →

Provider Business Mailing Address Details

Address
66 Ridgedale Ave
Florham Park, NJ 07932-2006
City
Florham Park
State
NJ
Zip
07932-2006
Phone Number
973-377-1174
Fax Number
973-377-4721

License Information

License Number
DI16076
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Jill S Brueckner, DMD?

The NPI number of Dr. Jill S Brueckner, DMD is 1376668418. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jill S Brueckner, DMD?

Dr. Jill S Brueckner, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI16076.

Where does Dr. Jill S Brueckner, DMD practice?

The practice location is 66 Ridgedale Ave, Florham Park, NJ 07932-2006. The office can be reached at 973-377-1174 (phone) or 973-377-4721 (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 1376668418 directly on the NPPES registry website.

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