MARK S. BROOKS (NPI# 1548349400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548349400 |
| Entity Type | Individual |
| Full Name | MARK S. BROOKS |
| Credential | DDS |
| Practice Address |
1604 Randolph Ave Saint Paul MN 55105-2148 |
| Practice Telephone | 6516992113 |
| Practice Fax Number | 6516993007 |
| Mailing Telephone | 6516992113 |
| Mailing Fax Number | 6516993007 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9603 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114862 | Mark Brooks | Pharmacist | 701 E Grover St, Shelby, NC 28150-4035 | 2014-08-05 |
| 1487908299 | Mark S Brooks | Social Worker | 445 Cleveland Ave Se, Atlanta, GA 30354-2200 | 2012-10-31 |
| 1306140124 | Mark Brooks | Nurse's Aide | 4438 Donna Dr, Richmond Heights, OH 44143-2630 | 2011-01-09 |
| 1528039187 | Mark Brooks | Family Medicine | 113 Leilmanis Ave, Attn: Credentials (cmc), Hurlburt Field, FL 32544-5600 | 2006-01-31 |
| 1902310048 | Mark Anthony Brooks Jr. | Case Manager/Care Coordinator | 904 G St, Eureka, CA 95501-1829 | 2017-11-28 |
| 1053658567 | Mark Barrett Brooks | Pharmacist | 941 N Parkway, Jackson, TN 38305-4504 | 2013-01-04 |
| 1760743785 | Mark Lawrence Brooks | Psychologist | 287 Central St, Gardner, MA 01440-8311 | 2012-06-06 |
| 1831275551 | Mark L Brooks | Dentist | 6060 Portal Way, Ferndale, WA 98248-7833 | 2006-10-27 |
| 1306927249 | Mark G Brooks | Internal Medicine | 10000 W Colonial Dr, Suite 187, Ocoee, FL 34761-3498 | 2006-10-18 |
| 1053407254 | Mark A Brooks | Clinical Neuropsychologist | 1708 Peachtree St Nw, Suite 400, Atlanta, GA 30309-2434 | 2006-10-05 |
| Street Address |
1604 RANDOLPH AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1205289428 | Chukwujindu Onyemordi Nwaigbo | Dentist | 476 Herschel St, Apt 1, Saint Paul, MN 55104-3608 | 2016-07-22 |
| 1427302983 | Ali Barbarawi | Dentist | 1200 Robert St S, Saint Paul, MN 55118-2308 | 2012-11-06 |
| 1801029293 | Family First Dental Associates of West Point, P.C. | Dentist | 809 6th St, Saint Paul, NE 68873-1604 | 2009-09-01 |
| 1942470539 | Michael A. Kurkowski, Pa | Dentist | 3500 Rice St, Saint Paul, MN 55126-3043 | 2008-03-10 |
| 1841317732 | Mark I. Malterud, D.d.s., P.a. | Dentist | 770 Mount Curve Blvd, Saint Paul, MN 55116-1165 | 2007-03-23 |
| 1124172754 | Thomas Elliot Vukodinovich | Dentist | 542 Snelling Ave S, Saint Paul, MN 55116-1565 | 2007-01-22 |
| 1699825612 | Lezlie Ann Nelson | Dentist | 375 Jackson St Ste 200, Saint Paul, MN 55101-1806 | 2007-01-11 |
| 1174671358 | Lynn Robert Ostlund | Dentist | 1043 Payne Ave, Saint Paul, MN 55101-3840 | 2007-01-06 |
| 1295890895 | Cherokee Dental, P.a. | Dentist | 374 Annapolis St W, Saint Paul, MN 55118-1107 | 2006-12-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.