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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.