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

Mark Andrew Brodhagen, DDS

Individual provider General Practice Dentistry · NPI 1760468136

Mark Andrew Brodhagen, DDS is a General Practice Dentistry in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
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

1052 Bel Aire Ct
Green Bay, WI 54304-5015
Phone: (920) 499-2121
Fax: (920) 499-7644
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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 1338G (WI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 1338G (WI)

Record details

NPI number1760468136
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 19, 2005
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address1052 Bel Aire Ct, Green Bay, WI 54304-5015

Other providers in Green Bay