BRADEN DENTAL CENTER SC
NPI 1679793632
Clinic/Center - Dental in Lake Geneva, WI

Active since May 01, 2007
101 BROAD ST, STE 203, LAKE GENEVA, WI 53147(262) 248-0120(262) 249-0140 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Braden Dental Center Sc NPPES

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

BRADEN DENTAL CENTER SC (NPI 1679793632) is a healthcare organization registered as a dental in Lake Geneva, Wisconsin and active in the NPI registry since May 2007. The organization lists Mark Thomas Braden, Owner Of Braden Dental Center, as its authorized official.

NPPES Registry Identity

NPI1679793632
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRADEN DENTAL CENTER SC
Location Address101 BROAD ST, STE 203Lake Geneva, WI 53147
Mailing Address101 Broad St, Ste 203Lake Geneva, WI 53147 · (262) 248-0120 · Fax (262) 249-0140
Fax(262) 249-0140
Organization SubpartNo
Authorized OfficialMark Thomas BradenOwner Of Braden Dental Center · (262) 248-0120
Enumeration DateMay 1, 2007
Last NPPES UpdateSeptember 9, 2015
NPI 1679793632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in WI · 2499
101 BROAD ST, Lake Geneva, WI 53147

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
101 BROAD ST, SUITE 201
LAKE GENEVA, WI 53147
Counselor (Professional)
101 BROAD ST, SUITE 201
LAKE GENEVA, WI 53147
Dentist (General Practice)
101 BROAD ST, SUITE 203
LAKE GENEVA, WI 53147
Dentist (General Practice)
101 BROAD ST, SUITE 203
LAKE GENEVA, WI 53147
Counselor (Professional)
101 BROAD ST
LAKE GENEVA, WI 53147

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 Braden Dental Center Sc's NPI number?

The NPI number for Braden Dental Center Sc is 1679793632. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Braden Dental Center Sc located?

Braden Dental Center Sc is located at 101 Broad St Ste 203, Lake Geneva, WI 53147. The listed phone number is (262) 248-0120.

What is Braden Dental Center Sc'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 Braden Dental Center Sc was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.