MAURA BEIRNE BRUNGO (NPI# 1770807471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770807471 |
Entity Type | Individual |
Full Name | MAURA BEIRNE BRUNGO |
Credential | D.M.D. |
Practice Address |
100 Oakwood Ave Suite 200 State College PA 16803-2636 |
Practice Telephone | 8142374000 |
Practice Fax Number | 8142720256 |
Mailing Telephone | 8142374300 |
Mailing Fax Number | 8142720256 |
Enumeration Date | 2010-03-24 |
Last Update Date | 2010-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | DS028551L | PA | Dental Providers |
Street Address |
100 OAKWOOD AVE SUITE 200 |
City | STATE COLLEGE |
State | PA |
Zip Code | 16803-2636 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821078569 | Restore Eye Care, P.C. | Optometrist | 100 Oakwood Ave, Oakwood Centre Ste 300, State College, PA 16803 | 2006-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
Find all providers in zip 16803 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164775193 | Fernando Tejeda | Dentist | 280 Ghaner Dr, State College, PA 16803-1199 | 2012-10-15 |
1083884449 | Jamshid K Assadinia | Dentist | 300 S Allen St, Suite 201, State College, PA 16801-4841 | 2008-03-01 |
1982810826 | Christine Angela Ally | Dentist | 124 October Drive, State College, PA 16801 | 2007-05-15 |
1083732580 | Ginger Marlene Grieco | Dentist | 3943 South Atherton Street, State College, PA 16801 | 2007-03-26 |
1518096148 | Dorota Romeo | Dentist | 212 South Allen Street, Suite 208, State College, PA 16801-4840 | 2007-03-02 |
1487792982 | Ethan Andrews Lowe | Dentist | 424 West Aaron Drive, Ste 201, State College, PA 16803 | 2007-02-05 |
1063561215 | Derrill C. Finch | Dentist | 1315 S Allen St, State College, PA 16801-5923 | 2007-01-09 |
1003927005 | Ben Graham Williams | Dentist | 432 Rolling Ridge Dr, Suite 1, State College, PA 16801-7640 | 2006-08-31 |
1770587495 | John Edward Italia | Dentist | 318 Toftrees Ave, Apt 140, State College, PA 16803-2031 | 2005-06-09 |
1356711196 | Guncha Sohi | Dentist | 407 E Calder Way, State College, PA 16801-5663 | 2015-10-06 |
Find all providers in STATE COLLEGE |
City | STATE COLLEGE |
Zip Code | 16803 |
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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.