# JOHN J. BRUNGO, DMD

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

## Provider details

- **NPI number:** 1508514647
- **Authorized official:** MRS. TIFFANY M CHURIK (OFFICE MANAGER)
- **Authorized official phone:** (724) 335-1232

## Contact information

- **Practice address:** 4137 LEECHBURG RD, NEW KENSINGTON, PA 15068-2305
- **Practice address phone:** (724) 335-1232
- **Practice address fax:** (724) 335-1237
- **Mailing address:** 4137 LEECHBURG RD, NEW KENSINGTON, PA 15068-2305
- **Mailing address phone:** (724) 335-1232
- **Mailing address fax:** (724) 335-1237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2022
- **Last updated:** 03/17/2022