Provider Demographics
NPI:1942349899
Name:BRUGGERS, KAREN JEAN (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JEAN
Last Name:BRUGGERS
Suffix:
Gender:F
Credentials:DDS MS
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Mailing Address - Street 1:1400 CRESCENT GREEN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8118
Mailing Address - Country:US
Mailing Address - Phone:919-858-8193
Mailing Address - Fax:919-858-8198
Practice Address - Street 1:1400 CRESCENT GREEN
Practice Address - Street 2:SUITE 210
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8118
Practice Address - Country:US
Practice Address - Phone:919-858-8193
Practice Address - Fax:919-858-8198
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA4167122300000X
NC56991223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223P0700XDental ProvidersDentistProsthodontics