| Branshaw Orthodontics, LLC | |
|
17135 W Captiol Drive Suite 100 Brookfield WI 53005 | |
| (262) 200-9445 | |
| (262) 200-9721 |
| Full Name | Branshaw Orthodontics, LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 17135 W Captiol Drive Suite 100, Brookfield, Wisconsin |
| Authorized Official Name and Position | Nicolas Branshaw (OWNER) |
| Authorized Official Contact | 2622009445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branshaw Orthodontics, LLC 17135 W Captiol Drive Suite 100 Brookfield WI 53005 Ph: (262) 200-9445 | Branshaw Orthodontics, LLC 17135 W Captiol Drive Suite 100 Brookfield WI 53005 Ph: (262) 200-9445 |
| NPI Number | 1215730627 |
|---|---|
| Provider Enumeration Date | 03/31/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215730627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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