IndividualActive
Daniel Bruin, DMD MS
NPI 1851730923 · Periodontics · Fort Leonard Wood, MO
Provider details
- NPI number
- 1851730923
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD MS
- Sex
- Male
- Sole proprietor
- No
- License
- DN20166 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618
Phone: (573) 596-3038
Approximate (ZIP-level) locationGet directions
Mailing address
6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618
Registry dates
- Enumerated
- 2013-06-21
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.