Provider Demographics
NPI:1265727267
Name:BRAUNLIN, ERIC TERRANCE (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:TERRANCE
Last Name:BRAUNLIN
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 1:403 S COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4618
Mailing Address - Country:US
Mailing Address - Phone:817-645-2486
Mailing Address - Fax:817-641-2426
Practice Address - Street 1:403 S COLONIAL DR
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4618
Practice Address - Country:US
Practice Address - Phone:817-645-2486
Practice Address - Fax:817-641-2426
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX270281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice