Individual provider · Type 1 NPI

Mark Andrew Brodhagen, DDS

Dentist · Green Bay, WI

NPI number 1760468136 Active

Practice location

1052 Bel Aire Ct
Green Bay, WI 54304-5015

Call (920) 499-2121 Map

Fax (920) 499-7644

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1338G (WI)
Durable Medical Equipment & Medical Supplies 332B00000X1338G (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1760468136

Mark Andrew Brodhagen, DDS's National Provider Identifier is 1760468136, issued on Dec 19, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Green Bay, WI. The record was last updated on Aug 11, 2026.