Bruening Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRUENING DENTAL LLC

Practice address

14377 Woodlake Dr Ste 206
Chesterfield, MO 63017-5735

Phone

(314) 878-8880

NPI assigned

Nov 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Roger Bruening, DDS

Title

Manager

Phone

(636) 448-1085

Specialties & licenses 1

Addresses

Other names 1

• Chesterfield Woodlake Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541203200000",
    "number": "1043788482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 206",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735",
            "telephone_number": "314-878-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUENING DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-03",
        "last_updated": "2018-11-03",
        "status": "A",
        "authorized_official_last_name": "BRUENING",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-448-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield Woodlake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Brown
• Sandra Lynn Brown, OTRL CHT
• Steven M Brown, M.D.
• Suzanne Michele Bruce, PT
• Michelle Jacqueline Brueggemann, MPT
• Andrew Roger Bruening, D.D.S.
• Carissa Bruening, D.D.S.
• Kimberly A Brune Shrum, NP-C
• Neal Brunkhorst, CRNA
• Tina Brunsmann, OTR

• Dental Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.