Organization Active NPI

Gerard J Bruno DDS Ms Oral and Facial Surgery LTD

  • Dental Clinic/Center
  • Canton, OH
National Provider Identifier
1275869455
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21583 Issued in OH
Legal business name
GERARD J BRUNO DDS MS ORAL AND FACIAL SURGERY LTD
Practice address
4573 Everhard Rd NW
Canton, OH 44718-2406
Phone
(330) 499-2000
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Dr. Gerard Bruno
Title
Owner
Phone
(330) 499-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21583 OH Primary

Addresses

Primary practice location

4573 Everhard Rd NW
Canton, OH 44718-2406

Mailing address

4573 Everhard Rd NW
Canton, OH 44718-2406

National Provider Directory

National Provider Directory

Locations

4573 Everhard Rd NW
Canton, OH 44718
Phone (330) 499-2000

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1275869455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4573 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182406",
            "telephone_number": "330-499-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD J BRUNO DDS MS ORAL AND FACIAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-499-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "21583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.