IndividualActive
Brady Gerber, DMD
NPI 1740022342 · General Practice Dentistry · Lake Geneva, WI
Provider details
- NPI number
- 1740022342
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 600156915 (WI)
Mailing address
580 Broad St
Lake Geneva, WI 53147-1420
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.