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Mark Brunner, DDS
NPI 1891714135 · on the registry since 2006
Practice
- Address
- 2064 Baldwin St Ste A
Jenison, MI 49428 - Phone
- (616) 264-3815
- Fax
- (404) 352-9381
- Organisation at this address
- Midwest Implant Surgery Center
Grand Valley Dental Care, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 518 Lincolnway W, Mishawaka, IN
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-14
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 Michigan