# BRUNGO FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245387521
- **Authorized official:** DR. RONALD A BRUNGO D.M.D. (DENTIST)
- **Authorized official phone:** (814) 237-4300

## Contact information

- **Practice address:** 234 E COLLEGE AVE, STATE COLLEGE, PA 16801-4757
- **Practice address phone:** (814) 237-4300
- **Practice address fax:** (814) 237-4303
- **Mailing address:** 234 E COLLEGE AVE, STATE COLLEGE, PA 16801-4757
- **Mailing address phone:** (814) 237-4300
- **Mailing address fax:** (814) 237-4303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS028551L | PA | — |
| 1223G0001X | General Practice Dentistry | DS028734L | PA | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/22/2020