Provider Demographics
NPI:1245448471
Name:BRAUN, JAMES M (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 HARROW LN
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-6061
Mailing Address - Country:US
Mailing Address - Phone:989-793-5551
Mailing Address - Fax:989-793-5552
Practice Address - Street 1:138 HARROW LN
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-6061
Practice Address - Country:US
Practice Address - Phone:989-793-5551
Practice Address - Fax:989-793-5552
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI112711223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics