OrganizationActive
Mark Brodhagen DDS Sc
NPI 1164500591 · General Practice Dentistry · Green Bay, WI
Mark Brodhagen DDS Sc is a General Practice Dentistry organization in Green Bay, WI (NPI 1164500591).
Provider details
- NPI number
- 1164500591
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Brodhagen, Owner(920) 499-2121
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
1052 Bel Aire Court
Green Bay, WI 54304
Phone: (920) 499-2121
Fax: (920) 499-7644
Approximate (ZIP-level) locationGet directions
Mailing address
1052 Bel Aire Court
Green Bay, WI 54304
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2016-11-16
Frequently asked questions
- What is Mark Brodhagen DDS Sc's NPI number?
- Mark Brodhagen DDS Sc's National Provider Identifier (NPI) is 1164500591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark Brodhagen DDS Sc?
- Mark Brodhagen DDS Sc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mark Brodhagen DDS Sc located?
- Mark Brodhagen DDS Sc's practice location on file with NPPES is 1052 Bel Aire Court, Green Bay, WI 54304.
- What is Mark Brodhagen DDS Sc's phone number?
- The practice phone number listed in the NPPES registry for Mark Brodhagen DDS Sc is (920) 499-2121.
- Who is the authorized official for Mark Brodhagen DDS Sc?
- The authorized official listed on Mark Brodhagen DDS Sc's NPPES record is Mark Brodhagen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark Brodhagen DDS Sc's NPI active?
- Yes — Mark Brodhagen DDS Sc's NPI (1164500591) is active in the NPPES registry as of the last update on 2016-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.