Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADEN DENTAL CENTER SC
Active OrganizationBRADEN DENTAL CENTER SC is a Dental Clinic organization located in LAKE GENEVA, Wisconsin. NPI 1679793632 is currently active in the NPPES registry. Verify at CMS.
Dental Clinic · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1679793632
- Provider Type
- Organization
- NPI Issued
- May 1, 2007 (19.141060710459 yrs)
- Last Updated
- Sep 9, 2015
- License
-
2499 (WI)
Practice Information
- Address
-
101 BROAD STSTE 203LAKE GENEVA, WI, 53147Browse WI providers · Browse ZIP 53147
- Phone
- 2622480120
- Fax
- 2622490140
- Primary Specialty
-
Dental Clinic
261QD0000X
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.