OrganizationActive
Beth Brunner, DMD, PLLC
NPI 1487930004 · Dental Clinic/Center · Lake Placid, NY
Provider details
- NPI number
- 1487930004
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beth Brunner, Owner(518) 837-5019
- License
- 054553 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1936 Saranac Ave
Suite 101
Lake Placid, NY 12946-1114
Phone: (518) 837-5019
Fax: (518) 837-5093
Street-level locationGet directions
Mailing address
1936 Saranac Ave
Lake Placid, NY 12946-1114
Other names (DBA / former)
- Doing business as
- Lake Placid Oral Surgery
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2012-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.