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MARK THOMAS BRADEN DDS
NPI 1780833475
Dentist - General Practice in Lake Geneva, WI

Active since September 17, 2008
101 BROAD ST, SUITE 203, LAKE GENEVA, WI 53147(262) 248-0120(262) 249-0140 Get Directions Write a Review

NPPES record last updated: September 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Thomas Braden Dds NPPES

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

MARK THOMAS BRADEN DDS (NPI 1780833475) is an individual general practice provider in Lake Geneva, Wisconsin, licensed in Wisconsin (2499) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1780833475
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK THOMAS BRADENCredential: DDS
Location Address101 BROAD ST, SUITE 203Lake Geneva, WI 53147-2000
Mailing Address101 Broad St, Suite 203Lake Geneva, WI 53147-2000 · (262) 248-0120 · Fax (262) 249-0140
Phone(262) 248-0120
Fax(262) 249-0140
Sole ProprietorNo
Enumeration DateSeptember 17, 2008
✔ NPI 1780833475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2499
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.
101 BROAD ST, Lake Geneva, WI 53147
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Other Names 1

Professional Name (2)Mark Thomas Braden Dds

Other Identifiers 1

Other33418600WI · Medical Assistant (badger Care, Title 19)

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.

DUANNE LAFRENZ MSW, LCSW
Social Worker (Clinical)
101 BROAD ST, SUITE 201
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
HENRY A. SIBBING J.D., M.S.
Counselor (Professional)
101 BROAD ST, SUITE 201
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
BRADEN DENTAL CENTER SC
Clinic/Center (Dental)
101 BROAD ST, STE 203
LAKE GENEVA, WI 53147
Walworth County (262) 248-0120
RYAN THOMAS BRADEN
Dentist (General Practice)
101 BROAD ST, SUITE 203
LAKE GENEVA, WI 53147
Walworth County (262) 248-0120
MR. JOHN EDWARD NOYER MS LPC
Counselor (Professional)
101 BROAD ST
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942

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 Mark Braden's NPI number?

The NPI number for Mark Braden is 1780833475. It was assigned to this individual provider in the NPPES registry on September 17, 2008. The provider is also known as Mark Thomas Braden Dds.

Where is Mark Braden located?

Mark Braden practices at 101 Broad St Suite 203, Lake Geneva, WI 53147. The listed phone number is (262) 248-0120.

What is Mark Braden's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Braden was last updated on September 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.