Provider Demographics
NPI:1275265837
Name:AUSTIN BRAUN DDS, PLLC
Entity Type:Organization
Organization Name:AUSTIN BRAUN DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-951-1051
Mailing Address - Street 1:740 DEL MONTE LN STE 1
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-7508
Mailing Address - Country:US
Mailing Address - Phone:775-329-0500
Mailing Address - Fax:775-329-4608
Practice Address - Street 1:740 DEL MONTE LN STE 1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-7508
Practice Address - Country:US
Practice Address - Phone:775-329-0500
Practice Address - Fax:775-329-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental