Provider Demographics
NPI:1033303995
Name:BRAUNSTEIN, JOSHUA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:R
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 VENTNOR AVE
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-2428
Mailing Address - Country:US
Mailing Address - Phone:609-822-2884
Mailing Address - Fax:609-822-2856
Practice Address - Street 1:5001 VENTNOR AVE
Practice Address - Street 2:
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-2428
Practice Address - Country:US
Practice Address - Phone:609-822-2884
Practice Address - Fax:609-822-2856
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ11207122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist