Provider Demographics
NPI:1508981523
Name:BRAUN, CRAIG VICTOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:VICTOR
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 ORLANDO HILLS DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025
Mailing Address - Country:US
Mailing Address - Phone:214-557-6819
Mailing Address - Fax:972-618-9369
Practice Address - Street 1:6841 COIT RD
Practice Address - Street 2:IMAGECARE DENTAL GROUP
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5417
Practice Address - Country:US
Practice Address - Phone:972-618-5000
Practice Address - Fax:972-618-9369
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22671122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist