Bronson Dental Practice, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31754 Issued in CA

Legal business name

BRONSON DENTAL PRACTICE, INC.

Practice address

550 Water St Ste K4
Santa Cruz, CA 95060-4136

Phone

(831) 212-3997

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

James Merritt Bronson, D.D.S.

Title

President

Phone

(831) 212-3997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225233935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE K4",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE K4",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604136",
            "telephone_number": "831-212-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON DENTAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-212-3997",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "31754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice B Britt, RN
• Manika Brockenbrough
• Marion Joan Brodkey, RN
• Dylan Jay Brody, LMFT
• Patrick Ian Brogan, CP
• Deborah Bronstein, M.D.
• Jennifer Brooks-Conrad
• Alison Brooks, IMF 43545
• Andrea Lynne Brooks, LCSW
• Matthew Brooks, CADC-II, ICADC

• Dental Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.