Jerry Kent Brunsoman in Maplewood - Oral And Maxillofacial Surgery
Jerry Kent Brunsoman - NPI 1356342505
Jerry Kent Brunsoman is a Oral And Maxillofacial Surgery in Maplewood, Minnesota. Jerry Kent Brunsoman practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jerry Kent Brunsoman is 1356342505. The last update date is 2007-07-08.
Jerry Kent Brunsoman's current location address is 1774 Cope Ave E, Maplewood, Minnesota. You can contact this provider via phone number 6517749611 and fax number 6517483704. The mailing address for Jerry Kent Brunsoman is 1774 Cope Ave E, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Kent Brunsoman |
|---|---|
| Address | 1774 Cope Ave E, Maplewood, Minnesota |
| Phone Number | 6517749611 |
| Fax Number | 6517483704 |
| Sole Proprietor | X |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1356342505 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1774 Cope Ave E |
|---|---|
| City | Maplewood |
| State | Minnesota (MN) |
| Post Code | 551092662 |
| Phone Number | 6517749611 |
| Fax Number | 6517483704 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D6950 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Kent Brunsoman by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Kent Brunsoman has been assigned the NPI (National Provider Identifier) 1356342505. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jerry Kent Brunsoman is located?
The Jerry Kent Brunsoman is situated at the following address: 1774 Cope Ave E, Maplewood, MN, 551092662.
What is Jerry Kent Brunsoman's area of expertise and its corresponding taxonomy classification?
The Jerry Kent Brunsoman's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356342505 to Jerry Kent Brunsoman?
The Centers for Medicare & Medicaid Services originally issued the 1356342505 to Jerry Kent Brunsoman on 2005-08-09.
When was the information regarding Jerry Kent Brunsoman most recently updated?
The details pertaining to the Jerry Kent Brunsoman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.