Provider Demographics
NPI:1437439809
Name:KRAUS, COLLIN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:
Last Name:KRAUS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 SUNDOWN LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1554
Mailing Address - Country:US
Mailing Address - Phone:214-701-8760
Mailing Address - Fax:
Practice Address - Street 1:1816 SUNDOWN LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-1554
Practice Address - Country:US
Practice Address - Phone:214-701-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX278341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics