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

Nicole Ashley Broz

Individual provider General Practice Dentistry · NPI 1124870910

Nicole Ashley Broz is a General Practice Dentistry in Wauwatosa, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

11904 W North Ave
Wauwatosa, WI 53226-2062
Phone: (414) 206-3356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 — (262) 716-8468

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6001599 (WI)

Record details

NPI number1124870910
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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