Provider Demographics
NPI:1538108329
Name:BRAUNSTEIN, ALLAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:BRAUNSTEIN
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 1:5 SICOMAC RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2972
Mailing Address - Country:US
Mailing Address - Phone:973-427-8020
Mailing Address - Fax:973-427-8021
Practice Address - Street 1:5 SICOMAC RD
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2972
Practice Address - Country:US
Practice Address - Phone:973-427-8020
Practice Address - Fax:973-427-8021
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1008618001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics