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Provider Information for 1639381890

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ANDRE H BRUNI DDS

Gender: MALE

Individual NPI: 1639381890

Calendar   Last Updated:  2022-05-11
  Certification Date:  2022-05-11

Details

Name Value
NPI 1639381890
Enumeration Date 2007-05-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 11001 HIGHLAND RD
BATON ROUGE, LA 70810-4306
United States

Phone: 225-277-3311 | Fax: 225-351-8859
View Map External Link
Primary Practice Address 7017 PERKINS RD
BATON ROUGE, LA 70808-4320
United States

Phone: 225-277-3311 | Fax: 225-351-8859
View Map External Link
Secondary Practice Address 6031 JONES CREEK RD
BATON ROUGE, LA 70817-3014
United States

Phone: 225-256-1169 | Fax: 225-351-8859
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other GENERAL DENTIST LA 85-2927446
Other GENERAL DENTIST 852927446
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice LA 5315