Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon Lee Coppersmith, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669113528

Brandon Lee Coppersmith, DDS is a Student in an Organized Health Care Education/Training Program in Oshkosh, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1720 Congress Ave
Oshkosh, WI 54901-7701
Phone: (209) 235-3251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6001066-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669113528
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address1801 W Wisconsin Ave, Milwaukee, WI 53233-2186

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