Dr. Mark Gregory Brunk is a Vandalia, Illinois based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark Gregory Brunk is 019019107 for General Practice Dentistry in Illinois. His current practice location is 607 W Orchard St, Vandalia. Patients can reach him at 618-283-2929.
Dr. Mark Gregory Brunk is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mark Gregory Brunk speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Mark Gregory Brunk
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
607 W Orchard St, Vandalia, Illinois, 62471-1234
Phone:
618-283-2929
Fax:
618-283-2113
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871668012
NPI Enumeration Date:
22 Nov, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Gregory Brunk are as mentioned below.
License Number
Specialization
State
Status
019019107
General Practice Dentistry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Gregory Brunk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
371175219
Other
Illinois
TAX ID#
0587318
Other
Illinois
COMPDENT FACILITY#
623475
Other
Illinois
UNITED CONCORDIA#
1001332
Medicaid
Illinois
DNIL19107A
Other
Illinois
BCBS ID#
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
607 W Orchard St, Vandalia, Illinois
Zip:
62471-1234
Phone Number:
618-283-2929
Fax Number:
618-283-2113
Patients can reach Dr. Mark Gregory Brunk at 607 W Orchard St, Vandalia, Illinois or can call to book an appointment on 618-283-2929. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.