Anthony M Brusca Jr DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020720L Issued in PA

Legal business name

ANTHONY M BRUSCA JR DMD LLC

Practice address

4407 Old William Penn Hwy
Suite 100
Murrysville, PA 15668-1940

Phone

(724) 325-2232

Fax

(724) 325-2259

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Anthony M Brusca

Title

Owner

Phone

(724) 325-2232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1083073191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 OLD WILLIAM PENN HWY",
            "address_2": "SUITE 100",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681940",
            "telephone_number": "724-325-2232",
            "fax_number": "724-325-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 OLD WILLIAM PENN HWY",
            "address_2": "SUITE 100",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681940",
            "telephone_number": "724-325-2232",
            "fax_number": "724-325-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY M BRUSCA JR DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "BRUSCA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-325-2232"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020720L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.