Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THERESA RENAE BRADDY DDS PLLC
NPI 1114872926
Clinic/Center - Dental in Winterville, NC

Active since February 27, 2026
915 E FIRE TOWER RD STE 100, WINTERVILLE, NC 28590(252) 689-3957 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Theresa Renae Braddy Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA RENAE BRADDY DDS PLLC (NPI 1114872926), doing business as Martin Family Dentistry, is a healthcare organization registered as a dental in Winterville, North Carolina and active in the NPI registry since February 2026. The organization lists Renae Braddy Kosha, Owner, as its authorized official.

NPPES Registry Identity

NPI1114872926
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHERESA RENAE BRADDY DDS PLLC
Location Address915 E FIRE TOWER RD STE 100Winterville, NC 28590-9303
Mailing Address915 E Fire Tower Rd Ste 100Winterville, NC 28590-9303 · (252) 689-3957
Organization SubpartNo
Authorized OfficialRenae Braddy KoshaOwner · (252) 945-8781
Enumeration DateFebruary 27, 2026
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
NPI 1114872926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
915 E FIRE TOWER RD STE 100, Winterville, NC 28590

Other Names 1

Doing Business AsMartin Family Dentistry

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
915 E FIRE TOWER RD STE 100
WINTERVILLE, NC 28590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Renae Braddy Dds PLLC's NPI number?

The NPI number for Theresa Renae Braddy Dds PLLC is 1114872926. It was assigned to this organization in the NPPES registry on February 27, 2026. The provider is doing business as Martin Family Dentistry.

Where is Theresa Renae Braddy Dds PLLC located?

Theresa Renae Braddy Dds PLLC is located at 915 E Fire Tower Rd Ste 100, Winterville, NC 28590. The listed phone number is (252) 689-3957.

What is Theresa Renae Braddy Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Theresa Renae Braddy Dds PLLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.