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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK BRODHAGEN DDS SC

Active Organization

MARK BRODHAGEN DDS SC is a General Dentistry organization located in GREEN BAY, Wisconsin. NPI 1164500591 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GREEN BAY, WI

Registration Details

NPI Number
1164500591
Provider Type
Organization
NPI Issued
Nov 2, 2006 (19.754204697652 yrs)
Last Updated
Nov 16, 2016

Practice Information

Address
1052 BEL AIRE COURT
GREEN BAY, WI, 54304
Browse WI providers · Browse ZIP 54304
Phone
9204992121
Fax
9204997644
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.