| Mark P. Brieden D.d.s., M.s., P.c. | |
|
158 Marcell Dr Ne Rockford MI 49341-1390 | |
| (616) 866-3010 | |
| (616) 866-7401 |
| Full Name | Mark P. Brieden D.d.s., M.s., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 158 Marcell Dr Ne, Rockford, Michigan |
| Authorized Official Name and Position | Mark P. Brieden (OWNER/PRESIDENT) |
| Authorized Official Contact | 6168663010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P. Brieden D.d.s., M.s., P.c. 158 Marcell Dr Ne Rockford MI 49341-1390 Ph: (616) 866-3010 | Mark P. Brieden D.d.s., M.s., P.c. 158 Marcell Dr Ne Rockford MI 49341-1390 Ph: (616) 866-3010 |
| NPI Number | 1508845918 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508845918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 031950 (Michigan) | Primary |
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