Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark A Brunner, DDS

Individual provider Periodontics · NPI 1891714135

Dr. Mark A Brunner, DDS is a Periodontics in Jenison, Michigan. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2064 Baldwin St Ste A
Jenison, MI 49428-8773
Phone: (616) 264-3815
Fax: (404) 352-9381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 518 Lincolnway W, Mishawaka, IN 46544-1807 — (574) 255-5630

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 12499 (GA)

Record details

NPI number1891714135
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025