Dr. Mark John Bruzek is a Hermantown, Minnesota based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark John Bruzek is
S27 for Pediatric Dentistry in Minnesota. His current practice location is
4419 Air Base Road, Hermantown. Patients can reach him at
218-728-2117.
Dr. Mark John Bruzek provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Mark John Bruzek 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 John Bruzek |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S., M.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4419 Air Base Road, Hermantown,
Minnesota, 55811 |
| Phone: | 218-728-2117 |
| Fax: | 218-728-2700 |
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: | 1568687044 |
| NPI Enumeration Date: | 17 Apr, 2007 |
| NPI Last Update On: | 30 Jul, 2013 |
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 John Bruzek are as mentioned below.
| License Number | Specialization | State | Status | |
| S27 | Pediatric Dentistry | Minnesota | Primary | |
| 3444 | Pediatric Dentistry | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark John Bruzek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33473800 | Medicaid | Wisconsin | |
| 3444 | Other | Wisconsin | DELTA DENTAL WI ID# |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4419 Air Base Road,
Hermantown, Minnesota |
| Zip: | 55811 |
| Phone Number: | 218-728-2117 |
| Fax Number: | 218-728-2700 |
Patients can reach Dr. Mark John Bruzek at
4419 Air Base Road, Hermantown, Minnesota or can
call to book an appointment on 218-728-2117.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.