Gary Brousell, D.d.s.pa
Dentist, Oral and Maxillofacial Surgery in Tinton Fall, New Jersey
1760520670- Practice location
- 21 Gilbert St., Tinton Fall, NJ 07724
- Phone
- 732-747-0993
- Fax
- 732-747-0961
- Last updated
- August 22, 2020
Gary Brousell, D.d.s.pa is a healthcare organization based in Tinton Fall, NJ. Gary Brousell, D.d.s.pa practices in Tinton Fall, NJ. The NPI Number for Gary Brousell, D.d.s.pa is 1760520670 and holds a License No. DI10690 (NJ). The current practice location address for Gary Brousell, D.d.s.pa is 21 Gilbert St., Tinton Fall, 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
- 1760520670
- Provider Name
- Gary Brousell, D.d.s.pa
- Provider Entity Type
- Organization
- Address
- 21 Gilbert St., Tinton Fall, NJ 07724
- Phone Number
- 732-747-0993
- Fax Number
- 732-747-0961
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Gary M Brousell, DDS · President · 732-747-0993
- Provider Enumeration Date
- February 2, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Gilbert St.
Tinton Fall, NJ 07724 - City
- Tinton Fall
- 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
- 732-539-5600
License Information
- License Number
- DI10690
- License State
- NJ
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Tinton Fall, NJ
View all Dentist, Oral and Maxillofacial Surgery providers in Tinton Fall →Frequently Asked Questions
What is the NPI number of Gary Brousell, D.d.s.pa?
The NPI number of Gary Brousell, D.d.s.pa is 1760520670. It was assigned on February 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Gary Brousell, D.d.s.pa?
Gary Brousell, D.d.s.pa is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number DI10690.
Where does Gary Brousell, D.d.s.pa practice?
The practice location is 21 Gilbert St., Tinton Fall, 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 1760520670 directly on the NPPES registry website.