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Dr. Jack L Brauer, DDS
General Practice Dentistry in Midway, Utah
NPI 1407187362

Jack L Brauer is a General Practice Dentistry based in Midway, UT and is specialized in General Practice. Jack L Brauer practices in Midway, UT and has the professional credentials of DDS. The NPI Number for Jack L Brauer is 1407187362 and holds a License No. 47988549921 (Utah).

The current practice location address for Jack L Brauer is 450 Bern Way, Midway, UT and can be reached out via phone at 619-840-7080.

Location: 450 Bern Way, Midway, UT, 84049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407187362
Provider Name
Jack L Brauer
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
450 Bern Way, Midway, UT, 84049
Phone Number
619-840-7080
Fax Number
Provider Enumeration Date
01/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407187362 05 UT
institution
Provider Business Practice Location Address Details
Address
450 Bern Way
City
Midway
State
Utah
Zip
84049
Phone Number
619-840-7080
Fax Number
person
Provider Business Mailing Address Details
Address
450 Bern Way
City
Midway
State
Utah
Zip
84049
Phone Number
619-840-7080
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
47988549921 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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