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GARY BROUSELL, D.D.S.PA
NPI 1760520670
Dentist - Oral and Maxillofacial Surgery in Tinton Fall, NJ

Active since February 02, 2007
21 GILBERT ST., TINTON FALL, NJ 07724(732) 747-0993(732) 747-0961 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Brousell, D.d.s.pa NPPES

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

GARY BROUSELL, D.D.S.PA (NPI 1760520670) is a healthcare organization registered as an oral and maxillofacial surgery in Tinton Fall, New Jersey and active in the NPI registry since February 2007. The organization lists Gary M Brousell, President, as its authorized official.

NPPES Registry Identity

NPI1760520670
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGARY BROUSELL, D.D.S.PA
Location Address21 GILBERT ST.Tinton Fall, NJ 07724
Mailing Address31 Wardell CirOceanport, NJ 07757-1610 · (732) 539-5600
Phone(732) 747-0993
Fax(732) 747-0961
Organization SubpartNo
Authorized OfficialGary M BrousellPresident · (732) 747-0993
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760520670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · DI10690
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
21 GILBERT ST., Tinton Fall, NJ 07724
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Other Identifiers 1

Medicaid1863401NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gary Brousell, D.D.S.Pa's NPI number?

The NPI number for Gary Brousell, D.D.S.Pa is 1760520670. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Gary Brousell, D.D.S.Pa located?

Gary Brousell, D.D.S.Pa is located at 21 Gilbert St., Tinton Fall, NJ 07724. The listed phone number is (732) 747-0993.

What is Gary Brousell, D.D.S.Pa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Gary Brousell, D.D.S.Pa was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.