SOFIA BOCK BRACAMONTE DDS
NPI 1497644223
Dentist - General Practice in East Lansing, MI

Active since June 27, 2025
818 W LAKE LANSING RD, EAST LANSING, MI 48823(517) 333-9500 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sofia Bock Bracamonte Dds NPPES

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

SOFIA BOCK BRACAMONTE DDS (NPI 1497644223) is an individual general practice provider in East Lansing, Michigan, licensed in Michigan (2901602595) and active in the NPI registry since June 2025. She maintains a secondary practice location in Okemos.

NPPES Registry Identity

NPI1497644223
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSOFIA BOCK BRACAMONTECredential: DDS
Location Address818 W LAKE LANSING RDEast Lansing, MI 48823-1308
Mailing Address2781 Sycamore River DrFowlerville, MI 48836-8621 · (407) 686-2047
Sole ProprietorYes
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
NPI 1497644223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901602595
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.

818 W LAKE LANSING RD, East Lansing, MI 48823

Secondary Practice Location 1

Location 12445 Woodlake CirOkemos, MI 48864-5941 · Phone (517) 246-3838

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (Oral and Maxillofacial Pathology)
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Clinic/Center
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Clinic/Center (Dental)
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Dentist (General Practice)
818 W LAKE LANSING RD
EAST LANSING, MI 48823

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497644223, enumerated as an "individual" on June 27, 2025.

The provider is located at 818 W LAKE LANSING RD EAST LANSING, MI 48823 and the phone number is (517) 333-9500.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Delta Dental of Michigan and Guardian. Please consult your insurance carrier or call the provider to verify.