Martha Jo Braid Dmd LLC

NPI #1669621140 in Marion, Illinois

Provider Information

NPI Number: 1669621140
Entity Type: Organization
Organization Name: Martha Jo Braid Dmd LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MARTHA JO BRAID DMD LLC
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Sep 9, 2008
Last Updated: Sep 9, 2008

Practice Location

Address: 2801-7 CIVIC CIRCLE BLVD
City: Marion
State: Illinois
ZIP Code: 62959
Phone: (618) 998-9868

Authorized Official

Name: PAM HARDIEK
Title: INSURANCE/CREDENTIALING
Phone: (210) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Martha J Braid, DMD	Dentist - Pediatric Dentistry	Marion	AI Deep Dive
DR. Michael Darrell Ewers, D.D.S.	Dentist - Pediatric Dentistry	Elmhurst	AI Deep Dive
Irwin M Seidman, D.D.S.	Dentist - Pediatric Dentistry	Palatine	AI Deep Dive

Organizations

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Shawnee Health Service and Development Corp Part of Shawnee Health Service and Development Corp	Dentist - Pediatric Dentistry	Marion	AI Deep Dive
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