| Thomas F. Braun, Dmd | |
|
427 Stillson Rd Ste 12 Fairfield CT 06824 | |
| (203) 374-0512 | |
| Not Available |
| Full Name | Thomas F. Braun, Dmd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 427 Stillson Rd Ste 12, Fairfield, Connecticut |
| Authorized Official Name and Position | Thomas Braun (OWNER) |
| Authorized Official Contact | 2033740512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas F. Braun, Dmd 427 Stillson Rd Ste 12 Fairfield CT 06824 Ph: (203) 374-0512 | Thomas F. Braun, Dmd 427 Stillson Rd Ste 12 Fairfield CT 06824 Ph: (203) 374-0512 |
| NPI Number | 1588684054 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588684054 | NPI | - | NPPES |
| 002058253 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5825 (Connecticut) | Primary |
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