DR. MARK JOHN BRUZEK D.D.S., M.S.
NPI 1568687044
Dentist - Pediatric Dentistry in Hermantown, MN

Q: What is Mark Bruzek's NPI number?

The NPI number for Mark Bruzek is 1568687044. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Mark Bruzek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bruzek was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2007

4419 AIR BASE ROAD, HERMANTOWN, MN 55811(218) 728-2117(218) 728-2700 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Mark John Bruzek D.d.s., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK JOHN BRUZEK D.D.S., M.S. (NPI 1568687044) is an individual pediatric dentistry provider in Hermantown, Minnesota, licensed in Minnesota (S27) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1568687044

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MARK JOHN BRUZEKCredential: D.D.S., M.S.

Location Address4419 AIR BASE ROADHermantown, MN 55811

Mailing Address4419 Air Base RoadHermantown, MN 55811 · (218) 728-2117 · Fax (218) 728-2700

Phone(218) 728-2117

Fax(218) 728-2700

Sole ProprietorNo

Enumeration DateApril 17, 2007

Last NPPES UpdateJuly 30, 2013

✔ NPI 1568687044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in MN · S27✔ Licensed in WI · 3444

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4419 AIR BASE ROAD, Hermantown, MN 55811

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Other Identifiers 2

Medicaid33473800WI

Other3444WI · Delta Dental Wi Id#

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN PATRICK CONRY BDS MS

Dentist (Pediatric Dentistry)

4419 AIR BASE ROAD
HERMANTOWN, MN 55811

St. Louis County (218) 728-2117

EVERSMILES PEDIATRIC DENTISTRY, PLLC

Dentist (Pediatric Dentistry)

4419 AIR BASE ROAD
HERMANTOWN, MN 55811

St. Louis County (218) 728-2117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Bruzek's NPI number?

The NPI number for Mark Bruzek is 1568687044. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Mark Bruzek located?

Mark Bruzek practices at 4419 Air Base Road, Hermantown, MN 55811. The listed phone number is (218) 728-2117.

What is Mark Bruzek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mark Bruzek was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.