Provider Demographics
NPI:1649490483
Name:BRADEN, WILLIAM FRANCES (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCES
Last Name:BRADEN
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17300 EL CAMINO REAL
Mailing Address - Street 2:112A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2715
Mailing Address - Country:US
Mailing Address - Phone:281-480-1898
Mailing Address - Fax:281-480-2518
Practice Address - Street 1:17300 EL CAMINO REAL
Practice Address - Street 2:112A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2715
Practice Address - Country:US
Practice Address - Phone:281-480-1898
Practice Address - Fax:281-480-2518
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics