Provider Demographics
NPI:1811628654
Name:BRAUN, AUSTIN DUANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:DUANE
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 RED DR UNIT 412
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3390
Mailing Address - Country:US
Mailing Address - Phone:509-951-1051
Mailing Address - Fax:
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:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV76611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice