Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ANDREW BRODHAGEN, DDS
Active Sole ProprietorMARK ANDREW BRODHAGEN, DDS is a General Dentistry healthcare provider located in GREEN BAY, Wisconsin. NPI 1760468136 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GREEN BAY, WI
Registration Details
- NPI Number
- 1760468136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2005 (20.465845425426 yrs)
- Last Updated
- Sep 4, 2018
- Licenses
-
1338G (WI)1338G (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1052 BEL AIRE CTGREEN BAY, WI, 543045015Browse WI providers · Browse ZIP 54304
- Phone
- 9204992121
- Fax
- 9204997644
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL DAVID VANDER KELEN | D.D.S. | 1295738854 |
| ANNE MARIE CZYZ-KLEMENS | DMD | 1851377220 |
| RICHARD W. GESKER | D.M.D. | 1326026527 |
| DR. ROBERT HAROLD WAGNER | DDS | 1780638585 |
| DR. ROBERT JAMES CROWLEY | D.D.S. | 1427093640 |
| DR. JOHN MICHAEL FAY II | DDS | 1396769576 |
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.