Healthcare Provider Details

I. General information

NPI: 1427984491
Provider Name (Legal Business Name): BRAYDEN LYMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 OHIO ST
WEBSTER CITY IA
50595-2850
US

IV. Provider business mailing address

1419 285TH ST
EAGLE GROVE IA
50533-8002
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-3034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS-10489
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: