Wilde, Braden

Wilde, Braden is an individual health care provider with primary practice located at 1400 S Foothill Dr Ste 240 , Salt Lake City UT 84108-2300. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Wilde, Braden can be contacted via phone (801) 581-1234.

Contact Information

Primary practice address
1400 S Foothill Dr Ste 240 Salt Lake City UT 84108-2300
Phone: (801) 581-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-4592 Idaho
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6258159-9922 Utah

Profile Details

NPI number 1780099788
LBN Legal business name Wilde, Braden
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2014
Last updated Jun 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers