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

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

Map and Direction




Healthcare Provider's Profile

Full NameDr Jerry Kent Brunsoman
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1774 Cope Ave E, Maplewood, Minnesota
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1356342505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - 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 AddressPractice 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

Reviews and Comments


Dentist in Maplewood, MN

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