Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTHA J BRAID, DMD
Active Sole ProprietorDR. MARTHA J BRAID, DMD is a Pediatric Dentistry healthcare provider located in MARION, Illinois. NPI 1609856251 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MARION, IL
Registration Details
- NPI Number
- 1609856251
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2006 (20.585994650678 yrs)
- Last Updated
- Jul 30, 2021
- Licenses
-
008287 (TN)019-025903 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2801 CIVIC CIRCLE BLVD STE 7MARION, IL, 629595276Browse IL providers · Browse ZIP 62959
- Phone
- 6189989868
- Fax
- 6189989870
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.