Mark Richard Brouillette
Dentist · York, NE
Practice location
622 N Burlington AveYork, NE 68467-3030
- Phone
- (402) 362-3222
NPI record
- NPI
- 1063622835
- Entity type
- Individual (Type 1)
- Enumeration date
- May 23, 2007
- Last updated
- November 4, 2025
- Certified
- November 4, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DO-8915 | AZ |
| General Practice Dentistry | 1223G0001X |
5539 | NE |
About Mark Brouillette
Mark Richard Brouillette is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 622 N Burlington Ave, York, NE 68467-3030. The NPI number 1063622835 was assigned on May 23, 2007 and the record was last updated on November 4, 2025.
Mark Brouillette lists 2 licenses in the registry: #DO-8915 (AZ) for Dentist; #5539 (NE) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Richard Brouillette?
The NPI number is 1063622835.
What is the phone number of Mark Brouillette?
The phone number listed for the practice location is (402) 362-3222.
Where is Mark Brouillette located?
622 N Burlington Ave, York, NE 68467-3030.
What is the taxonomy code for Mark Brouillette?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in York
- Sheldon Lee Carlow, DDS622 N Burlington Ave
- David S. Wieting, D.D.S.122 West 6TH Street
- Miles Berg, D.D.S.408 N Platte Ave