BRANSON BRACES LLC


Address: 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616
Phone: 4173354746

BRANSON BRACES LLC (NPI# 1164864336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164864336
Entity Type Organization
Organization Name BRANSON BRACES LLC
Other Organization Name BRANSON BRACES
Practice Address 168 S. Payne Stewart Dr.
Ste 100
Branson
MO 65616
Mailing Address 168 S Payne Stewart Dr
Ste 100
Branson
MO 65616
Practice Telephone 4173354746
Mailing Telephone 4173354746
Enumeration Date 2013-07-29
Last Update Date 2013-07-29
Authorized Official Name DR. MARK DAKE (MEMBER)
Authorized Official Telephone 4172565100
Authorized Official Credential DDS, MSD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Branson Braces Doing Business As Name - Organization

Office Location

Street Address 168 S. PAYNE STEWART DR.
STE 100
City BRANSON
State MO
Zip Code 65616

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700495959 Lester E Cox Medical Centers Nurse Practitioner 935 P Rd 65-60, Branson, MO 65616 2020-07-23
1184286379 Michelle Le Short Massage Therapist 3000 Green Mountain Dr Ste 104, Branson, MO 65616 2019-07-08
1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
1619414539 Brittany N Wright Physical Therapist 813 S Business Us Highway 65, Branson, MO 65616 2017-01-30
1184018632 Christopher Amundsen Orthopaedic Surgery 448 State Highway 248, Branson, MO 65616 2015-03-23
1538567938 Tracy Lynn Douthard Physical Therapist 714 State Highway 248 Ste 503, Branson, MO 65616 2014-12-17
1952707838 Regginold Prescott Lucas Technician 220 Everest Circle, Apt 4, Branson, MO 65616 2014-11-05
1174958094 Morghan Olson Chiropractor 813 S. Business Us Highway 65, Branson, MO 65616 2013-09-10
1528400173 Emologic Clinic, LLC Registered Nurse 500 W. Main, Ste 204, Branson, MO 65616 2013-07-24
1295173946 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 105 Loyd St, Branson, MO 65616 2013-06-04
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326425711 Braces of The Ozarks, LLC Dentist 168 S Payne Stewart Dr, Ste 100, Branson, MO 65616-2792 2015-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649878034 Soh of Missouri Samson Liu PC Dentist 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 2020-10-16
1952918054 Candid Missouri, LLC Dentist 7431 Broadway, Kansas City, MO 64114-1529 2020-09-23
1659915098 Cheif Smiles LLC Dentist 620 E. Us Highway 40, Blue Springs, MO 64014 2019-10-29
1780140459 Evan W Brown Dds Inc Dentist 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 2019-02-18
1376014852 Catherine Loner Dentist 1470 S New Florissant Rd, Florissant, MO 63031-8198 2018-12-10
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1699281121 St Louis South Orthodontics Dentist 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 2017-12-20
1023557766 Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc Dentist 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 2017-02-14
1023556743 Mark Humphrey Dentist 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 2017-02-01
1912458688 Jerry F. Cash Dentist 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 2016-10-18
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Competitor

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City BRANSON
Zip Code 65616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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