Individual provider · Type 1 NPI
Mark A. Brunner, DDS
Periodontics · Jenison, MI
NPI number
1891714135
Active
Practice location
2064 Baldwin St Ste A
Jenison, MI 49428-8773
Fax (404) 352-9381
Other practice locations
- 518 Lincolnway W, Mishawaka, IN 46544-1807 · (574) 255-5630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 12499 (GA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
About NPI 1891714135
Mark A. Brunner, DDS's National Provider Identifier is 1891714135, issued on Jul 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jenison, MI. The record was last updated on Mar 14, 2025.