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Dr. Mark Gregory Brunk, DMD
General Practice Dentistry in Vandalia, Illinois
NPI 1871668012

Mark Gregory Brunk is a General Practice Dentistry based in Vandalia, IL and is specialized in General Practice. Mark Gregory Brunk practices in Vandalia, IL and has the professional credentials of DMD. The NPI Number for Mark Gregory Brunk is 1871668012 and holds a License No. 019019107 (Illinois).

The current practice location address for Mark Gregory Brunk is 607 W Orchard St, Vandalia, IL and can be reached out via phone at 618-283-2929 and via fax at 618-283-2113.

Location: 607 W Orchard St, Vandalia, IL, 62471-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871668012
Provider Name
Mark Gregory Brunk
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
607 W Orchard St, Vandalia, IL, 62471-1234
Phone Number
618-283-2929
Fax Number
618-283-2113
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371175219 01 IL TAX ID#
0587318 01 IL COMPDENT FACILITY#
623475 01 IL UNITED CONCORDIA#
1001332 05 IL
DNIL19107A 01 IL BCBS ID#
institution
Provider Business Practice Location Address Details
Address
607 W Orchard St
City
Vandalia
State
Illinois
Zip
62471-1234
Phone Number
618-283-2929
Fax Number
618-283-2113
person
Provider Business Mailing Address Details
Address
607 W Orchard St
City
Vandalia
State
Illinois
Zip
62471-1234
Phone Number
618-283-2929
Fax Number
618-283-2113
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019019107 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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