DR. MARK A BRUNNER (NPI# 1891714135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891714135 |
| Entity Type | Individual |
| Full Name | DR. MARK A BRUNNER |
| Credential | DDS |
| Practice Address |
1430 John Wesley Gilbert Dr. Gc-1333 Augusta GA 30327-3007 |
| Mailing Address |
4200 Northside Pkwy Nw Building 5 Atlanta GA 30327-3007 |
| Practice Telephone | 7067212442 |
| Mailing Telephone | 4043523123 |
| Mailing Fax Number | 4043529381 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12499 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386060 | Mark I. Brunner | Internal Medicine | 212 S 2nd St, Danville, KY 40422-1804 | 2006-02-22 |
| Street Address |
1430 JOHN WESLEY GILBERT DR. GC-1333 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30327-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932542172 | Tyler Payne Rathburn | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr., Augusta, GA 30912 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1841507928 | Cristiano Susin | Dentist | 1120 15th St # Ad1430, Mcg School of Dentistry Dept Periodontics, Augusta, GA 30912-0004 | 2010-09-09 |
| 1699810366 | Christopher William Cutler | Dentist | 1120 15th St # Gc-1335, Ghsu-college of Dental Medicine, Augusta, GA 30912-0004 | 2007-02-21 |
| 1891846754 | David W. Perrry | Dentist | 231 Davis Rd, Augusta, GA 30907-2407 | 2007-01-16 |
| 1952465742 | Jeffrey Jerome Dent | Dentist | 1238 Augusta West Pkwy, Augusta, GA 30909-1854 | 2006-12-19 |
| 1417900929 | Philip J Hanes | Dentist | 1430 John Wesley Gilbert, Gc-1024, Augusta, GA 30912-1001 | 2006-05-18 |
| 1073112512 | Celine Joyce Cornelius Timothius | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2020-10-24 |
| 1144671397 | Mira Ghaly | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2016-06-29 |
| 1356719322 | Andrew Kurialacherry | Dentist | 3456 Wrightsboro Rd, Augusta, GA 30909-2678 | 2015-09-08 |
| Find all providers in AUGUSTA | ||||
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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.