Matthew J. Bruzek, D.D.S., P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW J. BRUZEK, D.D.S., P.L.L.C.

Practice address

201 N Riverside Ave Unit C3C4
Saint Clair, MI 48079-5491

Phone

(810) 201-6562

Fax

(810) 740-7020

NPI assigned

Sep 10, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew J Bruzek, DDSNPI 1659414357

Title

Owner

Phone

(810) 328-5225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew J Bruzek, DDS

  • General Practice Dentistry
  • Saint Clair, MI
  • NPI 1659414357
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346769494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N RIVERSIDE AVE UNIT C3C4",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795491",
            "telephone_number": "810-328-5225",
            "fax_number": "810-740-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RIVERSIDE AVE UNIT C3C4",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795491",
            "telephone_number": "810-201-6562",
            "fax_number": "810-740-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. BRUZEK, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "BRUZEK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-328-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Barrales Manning, DDS
• Marshall Family Chiropractic, PC
• Eric John Marshall, DC
• Nancy H Marshall, MD
• Christine Martindale
• Courtney McClellan, LMSW
• Desiree McKnight
• Annette Christine McLaughlin, LLMSW
• Braunda Mellick, L.P.N.
• Mental Health Warrior Counseling PLLC

• Dental Clinic/Center in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.