Healthcare Provider Details

I. General information

NPI: 1831271030
Provider Name (Legal Business Name): DENNY LEE BRUMMETT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3876 S HWY 27
SOMERSET KY
42501
US

IV. Provider business mailing address

3876 S HWY 27
SOMERSET KY
42501
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-5328
  • Fax: 606-679-1972
Mailing address:
  • Phone: 606-679-5328
  • Fax: 606-679-1972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7942
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7942
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: