Organization · Type 2 NPI

Mark Brodhagen DDS SC

General Practice Dentistry · Green Bay, WI

NPI number 1164500591 Active

Practice location

1052 Bel Aire Court
Green Bay, WI 54304

Call (920) 499-2121 Map

Fax (920) 499-7644

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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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About NPI 1164500591

Mark Brodhagen DDS SC's National Provider Identifier is 1164500591, issued on Nov 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Green Bay, WI. The record was last updated on Nov 16, 2016.