NPI Index

DR. GEORGE BRUDER III, D.M.D.

Dentist - Endodontics

Active Individual
NPI: 1780868430

Practice Address

STONY BROOK DENTAL ASSOCIATES INC
SULLIVAN HALL - ROOM 170 - FACULTY PRACTICE
Stony Brook, NY 11794

Phone: (631) 632-8971

Specialties

Specialty Code Primary License
Dentist - Endodontics 1223E0200X Yes 50 050928 (NY)

Frequently Asked Questions

NPI 1780868430 is the National Provider Identifier for DR. GEORGE BRUDER III, D.M.D., a Dentist - Endodontics provider located in Stony Brook, NY. This NPI was enumerated on December 18, 2007.
DR. GEORGE BRUDER III, D.M.D. practices at STONY BROOK DENTAL ASSOCIATES INC, SULLIVAN HALL - ROOM 170 - FACULTY PRACTICE, Stony Brook, NY 11794.

Quick Facts

NPI
1780868430
Type
Individual
Enumerated
Dec 18, 2007
Last Updated
Dec 18, 2007

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