MEDICARE: DR. LAURA DAY BRASWELL D.D.S.

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	1223P0300X	Periodontics	DN009901	GA
2	1223P0300X	Periodontics	GA9901	GA

General Provider Information

NPI Number	:	1922022615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA DAY BRASWELL D.D.S.

Provider Business Mailing Address
First Line	:	3280 HOWELL MILL RD NW STE 331
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4109
Country	:	US
Telephone Number	:	404-261-9593
Fax Number	:	404-261-9409

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW STE 311
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4111
Country	:	US
Telephone Number	:	404-261-9593
Fax Number	:	404-261-9409

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/01/2022

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Directions to “ DR. LAURA DAY BRASWELL D.D.S.” Practice Location

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