BRUCE BOHNSACK DDS NPI 1962754606

NPI Information

  • NPI: 1962754606
  • Provider Name: BRUCE BOHNSACK DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 100 3RD ST SW
    COKATO, MN
    ZIP 55321
  • Phone: (320) 286-5333

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NPI Details

BRUCE BOHNSACK DDS is a general practice dentist in Cokato, MN. The provider is 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. BRUCE BOHNSACK DDS NPI is 1962754606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 3RD ST SW
COKATO, MN
ZIP 55321-595
Phone: (320) 286-5333
Fax: (320) 286-5631

The provider's authorized official is Bruce Allen Bohnsack .
The authorized official title is Dds/owner and has the following contact phone number (320) 286-5333.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 10/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD8315MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1972817100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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