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

Dr. Mark Richard Brouillette

Individual provider Dentist · NPI 1063622835

Dr. Mark Richard Brouillette is a Dentist in York, Nebraska. Practices as a sole proprietor. Licensed in Arizona and Nebraska.

Licensed in
AZ, NE
In the registry since
2007
Specialties on file
2

Practice location Address checks out

622 N Burlington Ave
York, NE 68467-3030
Phone: (402) 362-3222
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DO-8915 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5539 (NE)

Record details

NPI number1063622835
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address622 N Burlington Ave, York, NE 68467-3030

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