Gerald Dale Brudvik, D.D.S.

General Practice Dentistry · Breckenridge, MN

Individual Active NPI

NPI number 1699859942

Practice location

430 Oak St.
Breckenridge, MN 56520
Phone
(218) 643-6313
Fax
(218) 643-6347

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NPI record

NPI
1699859942
Entity type
Individual (Type 1)
Enumeration date
October 24, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7177 MN

Mailing address

PO Box 106
Breckenridge, MN 56520
Phone
(218) 643-6313
Fax
(218) 643-6347

About Dr. Brudvik

Gerald Dale Brudvik, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 430 Oak St., Breckenridge, MN 56520. The NPI number 1699859942 was assigned on October 24, 2006 and the record was last updated on July 8, 2007.

Dr. Brudvik lists a license in the registry: #7177 (MN) 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 Gerald Dale Brudvik, D.D.S.?

The NPI number is 1699859942.

What is the phone number of Dr. Brudvik?

The phone number listed for the practice location is (218) 643-6313.

Where is Dr. Brudvik located?

430 Oak St., Breckenridge, MN 56520.

What is the taxonomy code for Dr. Brudvik?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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