DR. DANIEL PAUL BRUNNER M.D., D.D.S.
NPI 1457672958
Oral & Maxillofacial Surgery in Marietta, GA

Q: What is Daniel Brunner's NPI number?

The NPI number for Daniel Brunner is 1457672958. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Daniel Brunner's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Brunner was last updated on July 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2010PECOS Enrolled

3535 ROSWELL RD, SUITE 27, MARIETTA, GA 30062(770) 321-0257(770) 321-0346 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Daniel Paul Brunner M.d., D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL PAUL BRUNNER M.D., D.D.S. (NPI 1457672958) is an individual oral & maxillofacial surgery provider in Marietta, Georgia, licensed in Georgia (053375) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457672958

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. DANIEL PAUL BRUNNERCredential: M.D., D.D.S.

Location Address3535 ROSWELL RD, SUITE 27Marietta, GA 30062-8826

Mailing Address3535 Roswell Rd, Suite 27Marietta, GA 30062-8826 · (770) 321-0257 · Fax (770) 321-0346

Phone(770) 321-0257

Fax(770) 321-0346

Sole ProprietorYes

Enumeration DateJune 18, 2010

Last NPPES UpdateJuly 22, 2019

✔ NPI 1457672958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in GA · 053375

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN013859 (GA)

3535 ROSWELL RD, Marietta, GA 30062

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Other Identifiers 1

Medicaid402170337BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Paul Brunner M.d., D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.