Brawner, Craig Ian

Brawner, Craig Ian is an individual health care provider with primary practice located at 11851 Jollyville Rd Ste 101, Austin TX 78759. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Brawner, Craig Ian can be contacted via phone (512) 258-4144.

Contact Information

Primary practice address
11851 Jollyville Rd Ste 101 Austin TX 78759
Phone: (512) 258-4144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD3698 New Mexico
Dental Providers / General Practice 1223G0001X DD3698 New Mexico

Profile Details

NPI number 1164787453
LBN Legal business name Brawner, Craig Ian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Jun 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164787453 NPPES
Texas Other 31599 DENTAL LICENSE

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