Active NPIIndividual providerSole proprietor

Peter Brusco, DMD

Dentist, General Practice in Kinnelon, New Jersey

NPI Number1760413504
Practice location
170 Kinnelon RD Rm 29A, Kinnelon, NJ 07405-2351
Fax
973-283-0724
Last updated
July 8, 2007

Peter Brusco is a Dentist, General Practice based in Kinnelon, NJ. Peter Brusco practices in Kinnelon, NJ and has the professional credentials of DMD. The NPI Number for Peter Brusco is 1760413504 and holds a License No. 22D101280800 (NJ). The current practice location address for Peter Brusco is 170 Kinnelon RD Rm 29A, Kinnelon, NJ 07405-2351 and can be reached out via phone at 973-838-5862 and via fax at 973-283-0724.

Provider Profile Details

NPI Number
1760413504
Provider Name
Peter Brusco
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
170 Kinnelon RD Rm 29A, Kinnelon, NJ 07405-2351
Phone Number
973-838-5862
Fax Number
973-283-0724
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Kinnelon RD Rm 29A
Kinnelon, NJ 07405-2351
Zip
07405-2351
Phone Number
973-838-5862
Fax Number
973-283-0724
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
170 Kinnelon RD Rm 29A
Kinnelon, NJ 07405-2351
City
Kinnelon
State
NJ
Zip
07405-2351
Phone Number
973-838-5862
Fax Number
973-283-0724

License Information

License Number
22D101280800
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.

Other Dentist, General Practice providers near Kinnelon, NJ

View all Dentist, General Practice providers in Kinnelon →

Frequently Asked Questions

What is the NPI number of Peter Brusco, DMD?

The NPI number of Peter Brusco, DMD is 1760413504. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Peter Brusco, DMD?

Peter Brusco, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D101280800.

Where does Peter Brusco, DMD practice?

The practice location is 170 Kinnelon RD Rm 29A, Kinnelon, NJ 07405-2351. The office can be reached at 973-838-5862 (phone) or 973-283-0724 (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 1760413504 directly on the NPPES registry website.

Browse related providers