IndividualActive
Braden Wilde, DDS, MSD
NPI 1780099788 · Orthodontics and Dentofacial Orthopedics Dentistry · Salt Lake City, UT
Provider details
- NPI number
- 1780099788
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- No
- License
- D-4592 (ID)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1400 S Foothill Dr Ste 240
Salt Lake City, UT 84108-2300
Phone: (801) 581-1234
Approximate (ZIP-level) locationGet directions
Mailing address
1282 E Quail Grove Cir
Murray, UT 84121-6562
Additional practice locations (2)
- 52 Medical Group Unit 3690Apo, AE 09126-3690Phone: (314) 458-3535
- 1548 E 4500 SHolladay, UT 84117-4209Phone: (801) 581-1234
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.