Mark Brodhagen Dds Sc

LBN: Mark Brodhagen Dds Sc
Mark Brodhagen Dds Sc is an health care organization with primary practice located at 1052 Bel Aire Court , Green Bay WI 54304. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mark Brodhagen Dds Sc can be contacted via phone (920) 499-2121, or through Brodhagen, Mark Andrew via phone (920) 499-2121.

Contact Information

Primary practice address
1052 Bel Aire Court Green Bay WI 54304
Phone: (920) 499-2121
Fax: (920) 499-7644
Website:
Map and Directions
Authorized official contact:
Name: Brodhagen, Mark Andrew Doctor of Dental Surgery (DDS)
Phone: (920) 499-2121

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1164500591
LBN Legal business name Mark Brodhagen Dds Sc
DBA Doing business as
Authorized official Brodhagen, Mark Andrew Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Nov 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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