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Mark Thomas Braden, DDS
General Practice Dentistry in Lake Geneva, Wisconsin
NPI 1780833475

Mark Thomas Braden is a General Practice Dentistry based in Lake Geneva, WI and is specialized in General Practice. Mark Thomas Braden practices in Lake Geneva, WI and has the professional credentials of DDS. The NPI Number for Mark Thomas Braden is 1780833475 and holds a License No. 2499 (Wisconsin).

The current practice location address for Mark Thomas Braden is 101 Broad St, Lake Geneva, WI and can be reached out via phone at 262-248-0120 and via fax at 262-249-0140.

Location: 101 Broad St, Lake Geneva, WI, 53147-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780833475
Provider Name
Mark Thomas Braden
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
101 Broad St, Lake Geneva, WI, 53147-2000
Phone Number
262-248-0120
Fax Number
262-249-0140
Provider Enumeration Date
09/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33418600 01 WI MEDICAL ASSISTANT (BADGER CARE, TITLE 19)
institution
Provider Business Practice Location Address Details
Address
101 Broad St
City
Lake Geneva
State
Wisconsin
Zip
53147-2000
Phone Number
262-248-0120
Fax Number
262-249-0140
person
Provider Business Mailing Address Details
Address
101 Broad St
City
Lake Geneva
State
Wisconsin
Zip
53147-2000
Phone Number
262-248-0120
Fax Number
262-249-0140
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2499 (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.
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