T.E.Bruno, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010119 Issued in GA

Legal business name

T.E.BRUNO, INC.

Practice address

5937 Highway 42
Ellenwood, GA 30294-3800

Phone

(770) 961-6272

Fax

(770) 961-0472

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Edwin Bruno, DDS

Title

President

Phone

(404) 992-8760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962534636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 HIGHWAY 42",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943800",
            "telephone_number": "770-961-6272",
            "fax_number": "770-961-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 HIGHWAY 42",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943800",
            "telephone_number": "770-961-6272",
            "fax_number": "770-961-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.E.BRUNO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-992-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.