Provider Demographics
NPI:1083855852
Name:BRAUNING, JEAN MICHELE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:MICHELE
Last Name:BRAUNING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9936 STEPHEN DECATUR HWY.
Mailing Address - Street 2:SUITE #505
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842
Mailing Address - Country:US
Mailing Address - Phone:410-213-1032
Mailing Address - Fax:410-213-7440
Practice Address - Street 1:9936 STEPHEN DECATUR HWY.
Practice Address - Street 2:SUITE #505
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842
Practice Address - Country:US
Practice Address - Phone:410-213-1032
Practice Address - Fax:410-213-7440
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD105461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice