Bluebonnet Dental Care Natchez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLUEBONNET DENTAL CARE NATCHEZ

Practice address

101 Highway 61 South
Natchez, MS 39120

Phone

(601) 446-9099

Fax

(601) 446-8207

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Andre Bruni, DDS

Title

Owner

Phone

(601) 446-9099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1922344902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 BLUEBONNET BLVD STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-291-5252",
            "fax_number": "225-223-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIGHWAY 61 SOUTH",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-446-9099",
            "fax_number": "601-446-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET DENTAL CARE NATCHEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "BRUNI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-446-9099",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek R Batieste
• Ronald Eugene Beasley, RPH
• Sahitya Bhandari, MD
• Bitesize Smiles, LLC
• Lacey Lane Blessitt, FNP-BC
• Charles D Borum, M.D.
• Felicia Bowman
• Sharon Bradford, FNP-C
• Whitney Rose Bradford, DPT
• Brenda Lee Brown, FNP-C

• General Practice Dentistry in Natchez, MS
• Providers in Natchez, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.