Provider Demographics
NPI:1013930379
Name:BRUNACINI, ROSS & ASSOCIATES DDS, INC.
Entity Type:Organization
Organization Name:BRUNACINI, ROSS & ASSOCIATES DDS, INC.
Other - Org Name:BRUNACINI & ROSS FAMILY DENTISTRY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-393-2297
Mailing Address - Street 1:1482 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-9401
Mailing Address - Country:US
Mailing Address - Phone:937-393-2297
Mailing Address - Fax:937-393-4488
Practice Address - Street 1:1482 N HIGH ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-9401
Practice Address - Country:US
Practice Address - Phone:937-393-2297
Practice Address - Fax:937-393-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty