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
Mailing address2064 Baldwin St Ste A, Jenison, MI 49428-8773