Individual provider · NPI-1

Dr. Taylor Nicole Brauchla, DDS

Dentist, General Practice · Battle Creek, MI

NPI number1326664103
StatusActive
Last updated in NPPESMar 27, 2022

Details

NPI
1326664103
Entity type
Individual (NPI-1)
Name
Dr. Taylor Nicole Brauchla
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2020
Certification date
Mar 27, 2022
Last updated
Mar 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901600523MIYes

Other names

  • Taylor Nicole Shireman (Former Name)

Practice location

2545 Capital Ave Sw Ste 210
Battle Creek, MI 49015-7103

Phone 269-841-5049

Mailing address

241 Depot Cir
Galesburg, MI 49053-8302

Phone 317-213-5575

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