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Dr. Jerry Kent Brunsoman, DDS,MS
Oral and Maxillofacial Surgery (Dentist) in Maplewood, Minnesota
NPI 1356342505

Jerry Kent Brunsoman is a Oral and Maxillofacial Surgery (Dentist) based in Maplewood, MN and is specialized in Oral and Maxillofacial Surgery. Jerry Kent Brunsoman practices in Maplewood, MN and has the professional credentials of DDS,MS. The NPI Number for Jerry Kent Brunsoman is 1356342505 and holds a License No. D6950 (Minnesota).

The current practice location address for Jerry Kent Brunsoman is 1774 Cope Ave E, Maplewood, MN and can be reached out via phone at 651-774-9611 and via fax at 651-748-3704.

Location: 1774 Cope Ave E, Maplewood, MN, 55109-2662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356342505
Provider Name
Jerry Kent Brunsoman
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1774 Cope Ave E, Maplewood, MN, 55109-2662
Phone Number
651-774-9611
Fax Number
651-748-3704
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1774 Cope Ave E
City
Maplewood
State
Minnesota
Zip
55109-2662
Phone Number
651-774-9611
Fax Number
651-748-3704
person
Provider Business Mailing Address Details
Address
1774 Cope Ave E
City
Maplewood
State
Minnesota
Zip
55109-2662
Phone Number
651-774-9611
Fax Number
651-748-3704
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D6950 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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