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JOHN BRUNETTI DMD NPI 1982742938


NPI Information

NPI: 1982742938
Provider Name: JOHN BRUNETTI, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
1 E PHILLIP RD
SUITE 101
VERNON HILLS, IL
ZIP 60061
Phone: (847) 367-4190
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John Brunetti, DMD is an oral and maxillofacial surgery dentist in Vernon Hills, IL with 22 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. John Brunetti, DMD NPI is 1982742938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduation Year:2002

The provider's business location address is:

1 E PHILLIP RD
SUITE 101
VERNON HILLS, IL
ZIP 60061-858
Phone: (847) 367-4190
Fax: (847) 367-5010

The NPI 1982742938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery021002276ILLINOISNo
21223S0112XDentistOral and Maxillofacial Surgery019025890ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.