Richard A Bruno, D.D.S., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Clawson, MI
NPI 1720169659 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720169659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2901016723 (MI)
- Practice address
- 730 N Crooks Rd
Clawson, MI 48017-1399 - Phone
- (248) 435-2000
- Fax
- (248) 435-8945
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901016723 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gauthier Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901016723 | MI | Yes |
Addresses
Primary practice location
730 N Crooks Rd
Clawson, MI 48017-1399
Mailing address
730 N Crooks Rd
Clawson, MI 48017-1399
Phone (248) 435-2000
Other providers in Clawson, MI
- Bodyworks Chiropratic PLLC
- Stephen Earl Boodin
- Zena Boutany
- Brian Vasicek DPT PLLC
- Bruce Millman, D.O., PLLC
- Mende Louise Burger
- C & C Medical Equipment LLC
- C. L. Squires and Company, LLC
- Stephanie Cady
- Allison M Case
All providers in Clawson, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.