Active NPI
Richard William Brunton, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Stillwater, MN
National Provider Identifier
1235128992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- MN10762
- Practice address
- 2850 Curve Crest Blvd W
Stillwater, MN 55082-4079 - Phone
- (651) 351-1010
- Fax
- (651) 351-9333
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | MN10762 | MN | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4482 | WI |
Addresses
Primary practice location
2850 Curve Crest Blvd W
Stillwater, MN 55082-4079
Mailing address
15270 Painters Lane Cir N
Stillwater, MN 55082-1642
Phone (651) 436-4145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33714200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN10762 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
| 4482 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Oral & Maxillofacial Surgery, P.a. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Great Lakes Oral & Maxillofacial Surgery, P.a. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Hudson, WI
- NPI 1902116288
-
- Oral and Maxillofacial Surgery (Dentist)
- Stillwater, MN
- NPI 1508058322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235128992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15270 PAINTERS LANE CIR N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550821642",
"telephone_number": "651-436-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 CURVE CREST BLVD W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824079",
"telephone_number": "651-351-1010",
"fax_number": "651-351-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNTON",
"first_name": "RICHARD",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "MN10762",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WI",
"license": "4482",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33714200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.