Mark P Brieden, D.D.S., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Rockford, MI
NPI 1285899484 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1285899484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- MI 031950 (MI)
- Practice address
- 158 Marcell Dr NE
Rockford, MI 49341-1390 - Phone
- (616) 866-3010
- Fax
- (616) 866-7401
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI 031950 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark P. Brieden D.D.S., M.S., P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | MI 031950 | MI | Yes |
Addresses
Primary practice location
158 Marcell Dr NE
Rockford, MI 49341-1390
Mailing address
158 Marcell Dr NE
Rockford, MI 49341-1390
Phone (616) 866-3010
Other providers in Rockford, MI
- Lindsey Janeen Brace
- Bailey Brandt
- Andrea Bray
- Emma E Bray
- Amanda Brennan
- Sandra Brigham
- Sandra Brill
- Sarah Kristine Brouwer
- Crystal Brower
- Jessica Bryant
All providers in Rockford, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.