Dr. Miles Edwin Brundage , DDS
Dentist - General Practice • Oak Park, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Miles Brundage has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Miles Brundage, DDS was a registered Dentist - General Practice practicing in Oak Park, IL. Throughout an active medical career spanning 14 years, Dr. Brundage provided care at the practice location at 137 N OAK PARK AVE until profile deactivation on 2021-12-07.
Practice Location & Contact Primary Location
137 N Oak Park Ave
Suite 202
Oak Park, IL 603011344
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Oak Park, IL
Practicing in Oak Park, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Student in an Organized Health Care Education/Training Program
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 07, 2021
NPI status registered as active in NPPES database
Registered at 137 N OAK PARK AVE, SUITE 202, OAK PARK, IL 603011344 (Tel: 7085240330)
Registered at 137 N OAK PARK AVE, SUITE 202, OAK PARK, IL 603011344 (Tel: 7085240330)
Recorded as MILES BRUNDAGE, DDS
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
137 N Oak Park Ave, Suite 202
Oak Park, IL 603011344
Phone: 7085240330
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