LAKE PLACID ORAL SURGERY
NPI 1487930004
Clinic/Center - Dental in Lake Placid, NY

Active since October 27, 2011
1936 SARANAC AVE, SUITE 101, LAKE PLACID, NY 12946(518) 837-5019(518) 837-5093 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Placid Oral Surgery NPPES

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

LAKE PLACID ORAL SURGERY (NPI 1487930004) is a healthcare organization registered as a dental in Lake Placid, New York and active in the NPI registry since October 2011. The organization lists Beth Brunner, Owner, as its authorized official.

NPPES Registry Identity

NPI1487930004
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBETH BRUNNER, DMD, PLLC
Location Address1936 SARANAC AVE, SUITE 101Lake Placid, NY 12946-1114
Mailing Address1936 Saranac Ave, Suite 101Lake Placid, NY 12946-1114 · (518) 837-5019 · Fax (518) 837-5093
Fax(518) 837-5093
Organization SubpartNo
Authorized OfficialBeth BrunnerOwner · (518) 837-5019
Enumeration DateOctober 27, 2011
Last NPPES UpdateApril 26, 2012
NPI 1487930004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NY · 054553
1936 SARANAC AVE, Lake Placid, NY 12946

Other Names 1

Doing Business AsLake Placid Oral Surgery

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1936 SARANAC AVE, SUITE 101
LAKE PLACID, NY 12946
Social Worker (Clinical)
1936 SARANAC AVE
LAKE PLACID, NY 12946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Brunner, Dmd, PLLC's NPI number?

The NPI number for Beth Brunner, Dmd, PLLC is 1487930004. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Lake Placid Oral Surgery.

Where is Beth Brunner, Dmd, PLLC located?

Beth Brunner, Dmd, PLLC is located at 1936 Saranac Ave Suite 101, Lake Placid, NY 12946. The listed phone number is (518) 837-5019.

What is Beth Brunner, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Beth Brunner, Dmd, PLLC was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.