Provider Demographics
NPI:1588709075
Name:FRANK D. BRUNI,D.D.S., PLC
Entity type:Organization
Organization Name:FRANK D. BRUNI,D.D.S., PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:DOUGLASS
Authorized Official - Last Name:BRUNI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-272-4711
Mailing Address - Street 1:9220 FOREST HILL AVE
Mailing Address - Street 2:SUITE A-6
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6800
Mailing Address - Country:US
Mailing Address - Phone:804-272-4711
Mailing Address - Fax:804-330-0077
Practice Address - Street 1:9220 FOREST HILL AVE
Practice Address - Street 2:SUITE A-6
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-6800
Practice Address - Country:US
Practice Address - Phone:804-272-4711
Practice Address - Fax:804-330-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010059551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA115139OtherANTHEM GROUP NUMBER
VA5955OtherDELTA DENTAL PROVIDER NUM
VA821425OtherUNITED CONCORDIA NUMBER