Dr Jerry Kent Brunsoman, DDS, MS in Maplewood, MN - Dentist

Dr Jerry Kent Brunsoman, DDS, MS is a Dentist - Oral And Maxillofacial Surgery based in Maplewood, Minnesota. Dr Jerry Kent Brunsoman is licensed to practice in Minnesota (license number D6950) and his current practice location is 1774 Cope Ave E, Suite 140, Maplewood, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 774-9611.

NPI number for Dr Jerry Kent Brunsoman is 1356342505 and his current mailing address is 1774 Cope Ave E, Suite 140, Maplewood, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356342505.

Contact Information

	Dr Jerry Kent Brunsoman, DDS, MS
	1774 Cope Ave E, Suite 140, Maplewood, MN 55109-2662
	(651) 774-9611
	(651) 748-3704

Healthcare Provider's Profile

Full Name	Dr Jerry Kent Brunsoman
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1774 Cope Ave E, Maplewood, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1356342505
Provider Enumeration Date: 08/09/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jerry Kent Brunsoman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356342505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D6950 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry Kent Brunsoman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jerry Kent Brunsoman, DDS, MS 1774 Cope Ave E, Suite 140, Maplewood, MN 55109-2662 Ph: (651) 774-9611	Dr Jerry Kent Brunsoman, DDS, MS 1774 Cope Ave E, Suite 140, Maplewood, MN 55109-2662 Ph: (651) 774-9611

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Dentist in Maplewood, MN

Dr. Rajdeep Batth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1670 Beam Ave Ste 204, Maplewood, MN 55109 Phone: 651-925-8423 Fax: 651-773-7568
John Keith Schulte, DDS,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1774 Cope Ave E, Suite 140, Maplewood, MN 55109 Phone: 651-770-1612 Fax: 651-748-3704
Xue Wang, Dentist Medicare: Medicare Enrolled Practice Location: 1670 Beam Ave Ste 204, Maplewood, MN 55109 Phone: 651-925-8423
Mr. Eugene Justin Gomes Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1866 Beam Avenue, Maplewood, MN 55109 Phone: 651-774-7144 Fax: 651-770-0560
Derrick John Veneman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1774 Cope Ave E Ste 110, Maplewood, MN 55109 Phone: 651-770-7175 Fax: 651-770-6109
Dr. Chia Wam Moua, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1670 Beam Ave Ste 204, Maplewood, MN 55109 Phone: 651-925-8416
Dr. Jana Lynne Voss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109 Phone: 651-770-7585 Fax: 651-770-6021

Dr Jerry Kent Brunsoman, DDS, MS - Dentist in Maplewood, MN