OrganizationActive
Theresa Renae Braddy DDS PLLC
NPI 1114872926 · Dental Clinic/Center · Winterville, NC
Theresa Renae Braddy DDS PLLC is a Dental Clinic/Center organization in Winterville, NC (NPI 1114872926).
Provider details
- NPI number
- 1114872926
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renae Kosha, Owner(252) 945-8781
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
915 E Fire Tower Rd Ste 100
Winterville, NC 28590-9303
Phone: (252) 689-3957
Street-level locationGet directions
Mailing address
915 E Fire Tower Rd Ste 100
Winterville, NC 28590-9303
Other names (DBA / former)
- Doing business as
- Martin Family Dentistry
Registry dates
- Enumerated
- 2026-02-27
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Theresa Renae Braddy DDS PLLC's NPI number?
- Theresa Renae Braddy DDS PLLC's National Provider Identifier (NPI) is 1114872926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theresa Renae Braddy DDS PLLC?
- Theresa Renae Braddy DDS PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Theresa Renae Braddy DDS PLLC located?
- Theresa Renae Braddy DDS PLLC's practice location on file with NPPES is 915 E Fire Tower Rd Ste 100, Winterville, NC 28590-9303.
- What is Theresa Renae Braddy DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Theresa Renae Braddy DDS PLLC is (252) 689-3957.
- Who is the authorized official for Theresa Renae Braddy DDS PLLC?
- The authorized official listed on Theresa Renae Braddy DDS PLLC's NPPES record is Renae Kosha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theresa Renae Braddy DDS PLLC's NPI active?
- Yes — Theresa Renae Braddy DDS PLLC's NPI (1114872926) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.