Active NPIIndividual provider

Kaylee K Brea, DMD

Dentist in Madison, Wisconsin

NPI Number1760102768
Practice location
706 S Gammon RD, Madison, WI 53719-1302
Fax
—
Last updated
August 30, 2022

Kaylee Kassandra Brea is a Dentist based in Madison, WI. Kaylee Kassandra Brea practices in Madison, WI and has the professional credentials of DMD. The NPI Number for Kaylee Kassandra Brea is 1760102768 and holds a License No. 600107515 (WI). The current practice location address for Kaylee Kassandra Brea is 706 S Gammon RD, Madison, WI 53719-1302 and can be reached out via phone at 608-720-1112.

Provider Profile Details

NPI Number
1760102768
Provider Name
Kaylee Kassandra Brea
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
706 S Gammon RD, Madison, WI 53719-1302
Phone Number
608-720-1112
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2022
Last Update Date
August 30, 2022
Certification Date
August 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
706 S Gammon RD
Madison, WI 53719-1302
Zip
53719-1302
Phone Number
608-720-1112
Madison, WI 53719Get directions →

Provider Business Mailing Address Details

Address
9 Rocky Ridge Dr
Trumbull, CT 06611-5326
City
Trumbull
State
CT
Zip
06611-5326

License Information

License Number
600107515
License State
WI
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaylee K Brea, DMD?

The NPI number of Kaylee K Brea, DMD is 1760102768. It was assigned on August 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Kaylee K Brea, DMD?

Kaylee K Brea, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in WI under license number 600107515.

Where does Kaylee K Brea, DMD practice?

The practice location is 706 S Gammon RD, Madison, WI 53719-1302. The office can be reached at 608-720-1112 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760102768 directly on the NPPES registry website.

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