Branson Braces LLC

NPI #1164864336 in Branson, Missouri

Provider Information

NPI Number: 1164864336
Entity Type: Organization
Organization Name: Branson Braces LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 29, 2013
Last Updated: Jul 29, 2013

Practice Location

Address: 168 S. PAYNE STEWART DR.
Address 2: STE 100
City: Branson
State: Missouri
ZIP Code: 65616
Phone: (417) 335-4746

Authorized Official

Name: DR. MARK DAKE, DDS, MSD
Title: MEMBER
Phone: (417) 256-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
Braces of the Ozarks, LLC	Dentist - Orthodontics and Dentofacial Orthopedics	Branson	AI Deep Dive

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