Organization
BRANSHAW ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS BRANSHAW DMD (OWNER)
(262) 200-9445
Entity
Organization
Contact information
Practice address
17135 W CAPTIOL DRIVE SUITE 100, BROOKFIELD, WI 53005
(262) 200-9445
(262) 200-9721
Mailing address
17135 W CAPTIOL DRIVE SUITE 100, BROOKFIELD, WI 53005
(262) 200-9445
(262) 200-9721
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
08/12/2025
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