Provider Demographics
NPI:1033469770
Name:BRAUN, DANIEL EDWARD (DANIEL BRAUN)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDWARD
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DANIEL BRAUN
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:EDWARD
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:495 BYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4059
Mailing Address - Country:US
Mailing Address - Phone:215-947-0331
Mailing Address - Fax:215-947-5266
Practice Address - Street 1:495 BYBERRY RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4059
Practice Address - Country:US
Practice Address - Phone:215-947-0331
Practice Address - Fax:215-947-5266
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017402L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry