Individual
JENNIFER ANN BRUNACINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
284 CUMBERLAND AVE., PORTLAND HIGH SCHOOL, AMANDA ROWE HEALTH CLINIC, PORTLAND, ME 04101
(207) 842-4653
(207) 828-8802
Mailing address
389 CONGRESS ST., THE CITY OF PORTLAND, PUBLIC HEALTH DIVISION, PORTLAND, ME 04101
(207) 874-8944
(207) 874-8913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4114
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434739499
—
ME
Enumeration date
07/09/2009
Last updated
01/06/2015
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