Individual provider · Type 1 NPI
Martha J. Braid, DMD
Pediatric Dentistry · Marion, IL
NPI number
1609856251
Active
Practice location
2801 Civic Circle Blvd Ste 7
Marion, IL 62959-5276
Fax (618) 998-9870
Other practice locations
- 95 US Highway 51 Byp W, Dyersburg, TN 38024-1935 · (731) 286-1271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 008287 (TN) |
| Pediatric Dentistry Primary | 1223P0221X | 019-025903 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1609856251
Martha J. Braid, DMD's National Provider Identifier is 1609856251, issued on Jan 19, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Marion, IL. The record was last updated on Jul 30, 2021.