MEDICARE: DR. THOMAS W BRAUN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS018159L	PA

General Provider Information

NPI Number	:	1396736278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS W BRAUN DMD

Provider Business Mailing Address
First Line	:	3501 TERRACE STREET
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15261-0001
Country	:	US
Telephone Number	:	412-648-6802
Fax Number	:	412-648-1008

Provider Business Practice Location Address
First Line	:	3501 TERRACE STREET
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15261-0001
Country	:	US
Telephone Number	:	412-648-6802
Fax Number	:	412-648-1008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	08/15/2012

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