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Active NPI 1497644223 Individual Practitioner Female Practitioner

Dr. Sofia Bock Bracamonte , DDS

Dentist - General Practice • East Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Sofia Bock Bracamonte, DDS is a registered healthcare professional specializing in Dentist - General Practice in East Lansing, MI. Practice services are available at 818 W LAKE LANSING RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

818 W Lake Lansing Rd

East Lansing, MI 488231308

Telephone 5173339500
Associated Practice Facility / Clinic
🏢 Gary H. Dwight, D.d.s., P.c. Facility NPI 1023296571

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in East Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
22 Specialists

Practicing in East Lansing, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901602595

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

2445 Woodlake Cir

Okemos, MI 488645941

Phone: 5172463838

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1164343059

Doctor of Dental Surgery

Dr. Gary Dwight , DDS, MS

Dentist - Oral and Maxillofacial Pathology

NPI 1255333431

Doctor of Dental Surgery, Master of Science

Blake Ramos

Dentist - General Practice

NPI 1265040539

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 27, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2025

Registered at 818 W LAKE LANSING RD, EAST LANSING, MI 488231308 (Tel: 5173339500)

📍
Updated Business Mailing Address June 27, 2025

Registered at 2781 SYCAMORE RIVER DR, FOWLERVILLE, MI 488368621 (Tel: 4076862047)

👤
Provider Name / Credentials Updated June 27, 2025

Recorded as SOFIA BOCK BRACAMONTE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2025

Dentist (License #2901602595 in MI)

🟢
Initial NPI Registration & Enumeration June 27, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497644223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2025
Last Update: June 27, 2025
Sole Proprietor: Yes

Mailing Address

2781 Sycamore River Dr

Fowlerville, MI 488368621

Phone: 4076862047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.