Jean-Daniel Brutus D.D.S., LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13673 Issued in MD

Legal business name

JEAN-DANIEL BRUTUS D.D.S., LLC

Practice address

6000 Laurel Bowie Rd
Suite 101
Bowie, MD 20715-4000

Phone

(301) 262-1112

Fax

(301) 262-2237

NPI assigned

Jul 25, 2011

Organization subpart

Yes

Parent organization

KEMMERTON FAMILY DENTISTRYAs reported in NPPES

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

Authorized official

Name

Dr. Jean-Daniel Brutus, DDS

Title

Owner/Dentist

Phone

(301) 262-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Jean-Daniel Brutus DDS LLC

Locations

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1962780916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAUREL BOWIE RD",
            "address_2": "SUITE 101",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154000",
            "telephone_number": "301-262-1112",
            "fax_number": "301-262-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAUREL BOWIE RD",
            "address_2": "SUITE 101",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154000",
            "telephone_number": "301-262-1112",
            "fax_number": "301-262-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN-DANIEL BRUTUS D.D.S., LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEMMERTON FAMILY DENTISTRY",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "JEAN-DANIEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-262-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4108761",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millie L Jarrell, CRNP
• Konrad Wayne Jarrett, M.D.
• Mariama Jawara
• JB Case Nursing, LLC
• JC Health Center LLC
• Martine Jean
• Melissa Ann Jeanbatiste-Dixon
• Felisha Fionne Jefferson, RN
• Leslie Larae Jefferson, CNS, LDN
• Jeffrey H. Baybick, MD PC

• General Practice Dentistry in Bowie, MD
• Providers in Bowie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.