DR. GARY BRUCE NUSSBAUM DMD
NPI 1962421388
Dentist - Oral and Maxillofacial Surgery in Salem, VA

Active since July 18, 2006
1940 BRAEBURN DR, SALEM, VA 24153(540) 989-5257 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Bruce Nussbaum Dmd NPPES

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

DR. GARY BRUCE NUSSBAUM DMD (NPI 1962421388) is an individual oral and maxillofacial surgery provider in Salem, Virginia, licensed in Virginia (0401005223) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962421388
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GARY BRUCE NUSSBAUMCredential: DMD
Location Address1940 BRAEBURN DRSalem, VA 24153-7383
Mailing Address1940 Braeburn DrSalem, VA 24153-7383 · (540) 989-5257
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962421388 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 VA · 0401005223
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.
1940 BRAEBURN DR, Salem, VA 24153

Other Identifiers 1

Medicare UPINT21402VA

Other Providers at the Same Location NPPES 3

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

Dentist (Endodontics)
1940 BRAEBURN DR
SALEM, VA 24153
Dentist (Endodontics)
1940 BRAEBURN DR
SALEM, VA 24153
Clinic/Center (Oral and Maxillofacial Surgery)
1940 BRAEBURN DR
SALEM, VA 24153

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 Nussbaum's NPI number?

The NPI number for Gary Nussbaum is 1962421388. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Gary Nussbaum located?

Gary Nussbaum practices at 1940 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 989-5257.

What is Gary Nussbaum'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 Nussbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.