Dr. Mark A Brunner, DDS
Dr. Mark A Brunner is a Periodontics provider (Dentist) practicing in Jenison, MI, registered in the NPPES registry with NPI 1891714135 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891714135 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark A Brunner |
| Credential | DDS |
| Sex | Male |
| Practice address | 2064 BALDWIN ST STE A, Jenison, MI, 49428 |
| Phone | 6162643815 |
| Fax | 4043529381 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2025-03-14 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | 12499 | GA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Mark Brunner, DDS NPI: 1891714135 Taxonomy: 1223P0300X (Periodontics) Address: 2064 BALDWIN ST STE A, Jenison, MI, 49428
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902367584 | Marla Fleming | Individual | Dentist | Jenison, MI |
| 1083459135 | Daleen Hammoud | Individual | Dentist | Jenison, MI |
Verify this record
Cross-check NPI 1891714135 against the authoritative CMS record: view Dr. Mark A Brunner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-14.