DR. RYAN TODD BRUNWORTH (NPI# 1699885269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699885269 |
| Entity Type | Individual |
| Full Name | DR. RYAN TODD BRUNWORTH |
| Credential | DDS |
| Practice Address |
504 E Colby St Whitehall MI 49461-1165 |
| Practice Telephone | 2318948814 |
| Practice Fax Number | 2318936505 |
| Mailing Telephone | 2318948814 |
| Mailing Fax Number | 2318936505 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 19078 | MI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901019078 | MI | Dental Providers |
| Street Address |
504 E COLBY ST |
| City | WHITEHALL |
| State | MI |
| Zip Code | 49461-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548828098 | Amanda Robertson | Dentist | 504 E Colby St, Whitehall, MI 49461-1165 | 2019-05-30 |
| 1013571322 | Lakeshore Family Dental Care | Clinic/Center | 504 E Colby St, Whitehall, MI 49461-1165 | 2019-04-23 |
| 1134365927 | Deborah Osborne, O.d., Pllc | Optometrist | 504 E Colby St, Whitehall, MI 49461-1165 | 2008-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
| 1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
| 1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1821037268 | Matthew Allen Tripp | Physician Assistant | 905 E Colby St, Whitehall, MI 49461 | 2006-06-04 |
| 1104817980 | Joseph Gerard Kerschen | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
| 1194716878 | Elizabeth A Tree-levasseur | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
| Find all providers in zip 49461 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942686423 | Dennis K Sacry | Dentist | 108 1st St W # 549, Whitehall, MT 59759-7794 | 2015-08-06 |
| 1679803852 | Yacoub Inc | Dentist | 2123 N 1st Ave, Suite A2, Whitehall, PA 18052-3956 | 2010-01-11 |
| 1376775593 | Dental Dreams, LLC | Dentist | 2180 Macarthur Rd, Whitehall, PA 18052-4535 | 2009-08-21 |
| 1538209325 | Hsuan-li Lin | Dentist | 3646 E. Main Street, Whitehall, OH 43213 | 2007-02-08 |
| 1316095409 | Jeffrey J. Matthews | Dentist | 36220 Tower Dr, Whitehall, WI 54773-0005 | 2007-01-08 |
| 1508938986 | Dennis K Sacry Dds | Dentist | 108 First Street West, Whitehall, MT 59759 | 2006-11-14 |
| 1164516423 | Rodney M. Dobrowolski, Dmd, PC | Dentist | 828 3rd St, Whitehall, PA 18052-6624 | 2006-10-03 |
| 1518070176 | Serges John Salivonchik | Dentist | 5501 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-08-17 |
| 1568475739 | Robert F. Chisdak | Dentist | 3655 Municipal Dr, Whitehall, PA 18052-2923 | 2006-08-15 |
| 1215943238 | Timothy Scott Solan | Dentist | 819 3rd St, Whitehall, PA 18052-6623 | 2006-07-31 |
| Find all providers in WHITEHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.