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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK JOHN BRUZEK, D.D.S., M.S.

Active

DR. MARK JOHN BRUZEK, D.D.S., M.S. is a Pediatric Dentistry healthcare provider located in HERMANTOWN, Minnesota. NPI 1568687044 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · HERMANTOWN, MN

Registration Details

NPI Number
1568687044
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2007 (19.29175482444 yrs)
Last Updated
Jul 30, 2013
Licenses
3444 (WI)
S27 (MN)

Practice Information

Address
4419 AIR BASE ROAD
HERMANTOWN, MN, 55811
Browse MN providers · Browse ZIP 55811
Phone
2187282117
Fax
2187282700
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in HERMANTOWN, MN

Name Credential NPI
DR. JOHN PATRICK CONRY BDS MS 1205958931
ABBY PERSHKE JOHNSON DDS 1922290345
DR. KIMBERLY ELLEN ROSTVOLD DDS 1417479700
DR. HANNAH RUTTEN DDS 1922505403
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.