Search › Nebraska › 122300000X
Mark Brouillette
NPI 1063622835 · on the registry since 2007 · sole proprietor
Practice
- Address
- 622 N Burlington Ave
York, NE 68467 - Phone
- (402) 362-3222
- Organisation at this address
- Centre Place Dental, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- AZ, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska