# MICHAEL J. BRUNNER, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194273573
- **Authorized official:** DR. ELIZABETH PRAST D.D.S. (DENTIST)
- **Authorized official phone:** (734) 878-3167

## Contact information

- **Practice address:** 315 S HOWELL ST, PINCKNEY, MI 48169-7900
- **Practice address phone:** (734) 878-3167
- **Practice address fax:** (734) 878-3168
- **Mailing address:** 315 S HOWELL ST, PINCKNEY, MI 48169-7900
- **Mailing address phone:** (734) 878-3167
- **Mailing address fax:** (734) 878-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13128 | MI | Yes |
| 122300000X | Dentist | 2901020228 | MI | — |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016