Dr. Mark A Braasch, DDS
Dentist in Santa Rosa Beach, FL. Individual provider (NPI-1).
NPI number1366431462
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1366431462
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark A Braasch
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2005
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DTP840 | FL | Yes |
| 122300000X | Dentist | 10637 | CO | |
| 122300000X | Dentist | 6475 | NE |
Practice location
515 Hideaway CirSanta Rosa Beach, FL 32459-6774
Phone 402-578-8188
Mailing address
515 Hideaway CirSanta Rosa Beach, FL 32459-6774
Phone 402-578-8188
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