Michael Joseph Bruns, DDS
Individual provider Active NPI General Practice Dentistry · Coldwater, OH
NPI 1922196898 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922196898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 17579 (OH)
- Practice address
- 750 W Main St
Coldwater, OH 45828-0068 - Phone
- (419) 678-4806
- Fax
- (419) 678-0077
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17579 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coldwater Dental Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17579 | OH | Yes |
Addresses
Primary practice location
750 W Main St
Coldwater, OH 45828-0068
Mailing address
750 W Main St
PO Box 68
Coldwater, OH 45828-0068
Phone (419) 678-4806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0820562 | Medicaid | OH |
Other providers in Coldwater, OH
- Amy Bruggeman
- Carson Matthew Bruner
- Jillynn F Bruner
- Brunet Dental LLC
- Veronica L Brunet
- Kathryn Burke
- Carla Cameron
- Coldwater Chiropractic Clinic Inc.
- Coldwater Dental Inc
- Coldwater Exempted Village School District
All providers in Coldwater, OH · General Practice Dentistry in Ohio
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.