Provider Demographics
NPI:1740772078
Name:BRADEN, BRITTANY LYNN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LYNN
Last Name:BRADEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ROLLING MILL HILL RD APT 621
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2533
Mailing Address - Country:US
Mailing Address - Phone:815-471-4505
Mailing Address - Fax:
Practice Address - Street 1:5606 BROOKWOOD PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1472
Practice Address - Country:US
Practice Address - Phone:615-356-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN107511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice