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Brandon Lee Coppersmith, DDS
General Practice Dentistry in Oshkosh, Wisconsin
NPI 1669113528

Brandon Lee Coppersmith is a General Practice Dentistry based in Milwaukee, WI and is specialized in General Practice. Brandon Lee Coppersmith practices in Oshkosh, WI and has the professional credentials of DDS. The NPI Number for Brandon Lee Coppersmith is 1669113528 and holds a License No. (Wisconsin).

The current practice location address for Brandon Lee Coppersmith is 1720 Congress Ave, Oshkosh, WI and can be reached out via phone at 209-235-3251.

Location: 1720 Congress Ave, Oshkosh, WI, 53233-2186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669113528
Provider Name
Brandon Lee Coppersmith
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1720 Congress Ave, Oshkosh, WI, 53233-2186
Phone Number
209-235-3251
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 Congress Ave
City
Oshkosh
State
Wisconsin
Zip
54901-7701
Phone Number
209-235-3251
Fax Number
person
Provider Business Mailing Address Details
Address
1720 Congress Ave
City
Oshkosh
State
Wisconsin
Zip
54901-7701
Phone Number
209-235-3251
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6001066-15 (Wisconsin)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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