Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY KENT BRUNSOMAN, D.D.S., M.S.
ActiveDR. JERRY KENT BRUNSOMAN, D.D.S., M.S. is a Oral & Maxillofacial Surgery healthcare provider located in MAPLEWOOD, Minnesota. NPI 1356342505 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1356342505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.826552771745 yrs)
- Last Updated
- Feb 15, 2026
- License
-
D6950 (MN)
Practice Information
- Address
-
1774 COPE AVE ESUITE 140MAPLEWOOD, MN, 551092662Browse MN providers · Browse ZIP 55109
- Phone
- 6517749611
- Fax
- 6517483704
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in MAPLEWOOD, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MARSHALL LLOYD WADE | D.D.S. | 1386606937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.