# DR. BRIAN BRUMBAUGH

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

## Provider details

- **NPI number:** 1821268723
- **Authorized official:** DR. BRIAN T BRUMBAUGH DDS (PRESIDENT)
- **Authorized official phone:** (540) 213-2244

## Contact information

- **Practice address:** 42 LAMBERT ST, SUITE 211, STAUNTON, VA 24401-2421
- **Practice address phone:** (540) 213-2244
- **Practice address fax:** (540) 213-1957
- **Mailing address:** 42 LAMBERT ST, SUITE 211, STAUNTON, VA 24401-2421
- **Mailing address phone:** (540) 213-2244
- **Mailing address fax:** (540) 213-1957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | VA0401411636 | VA | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 07/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9199966 | — | VA |