NPI 1154799534 · live from the CMS NPI Registry
Lance Q. Bruntz, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Reno, NV. National Provider Identifier 1154799534, active.
NPI record
| NPI | 1154799534 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3605 Grant Dr, Reno, NV 89509 |
| Practice phone | 775-825-4804 |
| Enumerated | September 2, 2015 |
| Last updated | September 2, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-72 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.