Provider Demographics
NPI:1932299906
Name:BRAUSER, JENNIFER LOWERY (DMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LOWERY
Last Name:BRAUSER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4485 WILLIAM FLYNN HWY
Mailing Address - Street 2:#6
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1424
Mailing Address - Country:US
Mailing Address - Phone:412-487-6252
Mailing Address - Fax:
Practice Address - Street 1:4485 WILLIAM FLYNN HWY
Practice Address - Street 2:#6
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1424
Practice Address - Country:US
Practice Address - Phone:412-487-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031022L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice