Mark Gregory Brunk, D.M.D.

General Practice Dentistry · Vandalia, IL

Individual Active NPI

NPI number 1871668012

Practice location

607 W Orchard St
Vandalia, IL 62471-1234
Phone
(618) 283-2929
Fax
(618) 283-2113

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NPI record

NPI
1871668012
Entity type
Individual (Type 1)
Enumeration date
November 22, 2006
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019019107 IL

About Dr. Brunk

Mark Gregory Brunk, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 607 W Orchard St, Vandalia, IL 62471-1234. The NPI number 1871668012 was assigned on November 22, 2006 and the record was last updated on July 9, 2007.

Dr. Brunk lists a license in the registry: #019019107 (IL) 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 Gregory Brunk, D.M.D.?

The NPI number is 1871668012.

What is the phone number of Dr. Brunk?

The phone number listed for the practice location is (618) 283-2929.

Where is Dr. Brunk located?

607 W Orchard St, Vandalia, IL 62471-1234.

What is the taxonomy code for Dr. Brunk?

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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