Brunsoman, Jerry Kent

Brunsoman, Jerry Kent is an individual health care provider with primary practice located at 1774 Cope Ave E Suite 140, Maplewood MN 55109-2662. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brunsoman, Jerry Kent can be contacted via phone (651) 774-9611.

Contact Information

Primary practice address
1774 Cope Ave E Suite 140 Maplewood MN 55109-2662
Phone: (651) 774-9611
Fax: (651) 748-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D6950 Minnesota

Profile Details

NPI number 1356342505
LBN Legal business name Brunsoman, Jerry Kent
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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