Deneen Brusamonti, D.M.D.
Individual provider Active NPI General Practice Dentistry · Springfield, PA
NPI 1447460332 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447460332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS027838L (PA)
- Practice address
- 1050 Baltimore Pike
Suite 4
Springfield, PA 19064-2853 - Phone
- (610) 543-5996
- Fax
- (610) 543-5129
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150609001970 | PA | Order and Referring Only - Dentist |
2062733538 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS027838L | PA | Yes |
Addresses
Primary practice location
1050 Baltimore Pike
Suite 4
Springfield, PA 19064-2853
Mailing address
8 Lian Dr
West Chester, PA 19382-6891
Phone (610) 793-1453
Other providers in Springfield, PA
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- Abigail Brown
- Colleen Brown
- Melissa P Broyles
- Eileen Elizabeth Brumbaugh
- Bucks Mont Ambulance
- Steffie Buerk
- Megan A Burman
- Olga Burt
- Danish Jawad Butt
All providers in Springfield, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.