DR. LISA DELUCIA BRUNO (NPI# 1740442672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740442672 |
| Entity Type | Individual |
| Full Name | DR. LISA DELUCIA BRUNO |
| Other Name | DR. LISA M DELUCIA |
| Credential | DDS |
| Practice Address |
39 W. Main St Webster NY 14580 |
| Practice Telephone | 5858720150 |
| Practice Fax Number | 5858726183 |
| Mailing Telephone | 5858720150 |
| Mailing Fax Number | 5858726183 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
055071 | NY | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10032 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548415391 | Lisa C Bruno | Occupational Therapist | 182 Rt. 117 Bybass Rd, Bedford Hills, NY 10507 | 2008-11-20 |
| 1790814960 | Lisa Marie Bruno | Contractor | 3601 Simpson Ferry Rd, Camp Hill, PA 17011-6407 | 2007-03-05 |
| 1386154912 | Lisa Marie Bruno | Dietitian, Registered | 5 Marine View Plz, Hoboken, NJ 07030-5756 | 2017-10-10 |
| 1558474692 | Lisa J Bruno | Counselor | 3033 W Jefferson St, Ste 215, Joliet, IL 60435-5252 | 2006-08-15 |
| 1780647214 | Lisa R Bruno | Physical Therapist | 3200 Northline Ave, Ste 160, Greensboro, NC 27408-7616 | 2006-04-07 |
| Street Address |
39 W. MAIN ST |
| City | WEBSTER |
| State | NY |
| Zip Code | 14580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1447808738 | Neva French | Technician | 1640 Lake Road, Webster, NY 14580 | 2019-08-29 |
| 1699329946 | Jillian Schifano Sweeney | Registered Nurse | 119 South Ave, Wcsd, Webster, NY 14580 | 2019-07-25 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1114435500 | Vanisha Mcbean | Licensed Practical Nurse | 164 Country Manor Way Apt 22, Webster, NY 14580 | 2018-01-19 |
| 1235658204 | Amarilis Perez | Licensed Practical Nurse | 15 Huntsman Way, Webster, NY 14580 | 2017-09-11 |
| 1710425178 | Michelle Malle Michlin | Licensed Practical Nurse | 1095 Fawnwood Drive, Webster, NY 14580 | 2017-02-06 |
| 1851743900 | Linda A Harris | Social Worker | 63 Daytona Ave, Webster, NY 14580 | 2016-07-12 |
| Find all providers in zip 14580 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952525925 | Daniel Piner Grilli | Dentist | 17100 Glenmount Park Dr, Suite A, Webster, TX 77598-4368 | 2007-04-12 |
| 1003965393 | Jay Skolnick | Dentist | 39 W Main St, Webster, NY 14580-2901 | 2007-01-09 |
| 1366716169 | Children's Dental Center | Dentist | 1 Professional Park Dr, Webster, TX 77598-4123 | 2012-02-27 |
| 1467603977 | David Thomas Taylor | Dentist | 1 Professional Park Dr, Webster, TX 77598-4123 | 2008-10-02 |
| 1841314689 | Webster Pediatric Dentistry, LLP | Dentist | 39 W Main St, Webster, NY 14580-2901 | 2007-03-19 |
| 1538218896 | William F. Salminen | Dentist | 39 W Main St, Webster, NY 14580-2901 | 2007-01-09 |
| 1063591881 | Brian Edward Winslow | Dentist | 1674 Empire Blvd, Suite 100, Webster, NY 14580-2130 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.