Individual provider · Type 1 NPI

Braden Wilde, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Salt Lake City, UT

NPI number 1780099788 Active

Practice location

1400 S Foothill Dr Ste 240
Salt Lake City, UT 84108-2300

Call (801) 581-1234 Map

Mailing address

1282 E Quail Grove Cir
Murray, UT 84121-6562

Other practice locations

52 Medical Group Unit 3690, Apo, AE 09126-3690 · (314) 458-3535
1548 E 4500 S, Holladay, UT 84117-4209 · (801) 581-1234

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	D-4592 (ID)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	6258159-9922 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1780099788

Braden Wilde, DDS, MSD's National Provider Identifier is 1780099788, issued on Jun 27, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 15, 2023.