IndividualActive
Mark Brunner, DDS
NPI 1891714135 · Periodontics · Jenison, MI
Mark Brunner, DDS is a Periodontics provider in Jenison, MI (NPI 1891714135).
Provider details
- NPI number
- 1891714135
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 12499 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2064 Baldwin St Ste a
Jenison, MI 49428-8773
Phone: (616) 264-3815
Fax: (404) 352-9381
Street-level locationGet directions
Mailing address
2064 Baldwin St Ste a
Jenison, MI 49428-8773
Additional practice locations (1)
- 518 Lincolnway WMishawaka, IN 46544-1807Phone: (574) 255-5630
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Mark Brunner's NPI number?
- Mark Brunner's National Provider Identifier (NPI) is 1891714135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Brunner's specialty?
- Mark Brunner is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Mark Brunner located?
- Mark Brunner's practice location on file with NPPES is 2064 Baldwin St Ste a, Jenison, MI 49428-8773.
- What is Mark Brunner's phone number?
- The practice phone number listed in the NPPES registry for Mark Brunner is (616) 264-3815.
- Is Mark Brunner's NPI active?
- Yes — Mark Brunner's NPI (1891714135) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.