| Dr Mark Gregory Brunk, DMD | |
|
607 W Orchard St, Vandalia, IL 62471-1234 | |
| (618) 283-2929 | |
| (618) 283-2113 |
| Full Name | Dr Mark Gregory Brunk |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 607 W Orchard St, Vandalia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871668012 | NPI | - | NPPES |
| 371175219 | Other | IL | TAX ID# |
| 0587318 | Other | IL | COMPDENT FACILITY# |
| 623475 | Other | IL | UNITED CONCORDIA# |
| 1001332 | Medicaid | IL | |
| DNIL19107A | Other | IL | BCBS ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019019107 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Gregory Brunk, DMD 607 W Orchard St, Vandalia, IL 62471-1234 Ph: (618) 283-2929 | Dr Mark Gregory Brunk, DMD 607 W Orchard St, Vandalia, IL 62471-1234 Ph: (618) 283-2929 |
John (jay) Jason Lowry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2219 W Randolph St, Vandalia, IL 62471 Phone: 618-283-1760 Fax: 618-283-1657 | |
Alivia Cao, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2102 W Randolph St, Vandalia, IL 62471 Phone: 618-283-4900 | |
Dr. Michael Kent Fulton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2102 W Randolph St, Vandalia, IL 62471 Phone: 618-283-4900 | |
Dr. Bradley Knight Dunn, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2102 W. Randolph St., Vandalia, IL 62471 Phone: 618-283-4900 Fax: 618-283-4963 | |
Mr. Jonathan Michael Sones, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 2219 W Randolph St, Vandalia, IL 62471 Phone: 618-283-1760 Fax: 618-283-1657 | |
Jordan Weis, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2102 W Randolph St, Vandalia, IL 62471 Phone: 618-283-4900 Fax: 618-283-4963 | |
Dr. Kelli Jean Brunk Blank, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 607 W Orchard St, Vandalia, IL 62471 Phone: 618-283-2929 Fax: 618-283-2113 |