Search › Wisconsin › 122300000X
Mark Brodhagen, DDS
NPI 1760468136 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1052 Bel Aire Ct
Green Bay, WI 54304 - Phone
- (920) 499-2121
- Fax
- (920) 499-7644
- Organisation at this address
- Bay Park Smiles Llc
Sleep Health Wisconsin LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 332B00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin