DR. Mark Richard Brouillette

NPI #1063622835 in York, Nebraska

Provider Information

NPI Number: 1063622835
Entity Type: Individual
Name: DR. Mark Richard Brouillette
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: May 23, 2007
Last Updated: Nov 4, 2025

Practice Location

Address: 622 N BURLINGTON AVE
City: York
State: Nebraska
ZIP Code: 68467-3030
Phone: (402) 362-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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