| Dr Jack L Brauer, DDS | |
|
450 Bern Way, Midway, UT 84049 | |
| (619) 840-7080 | |
| Not Available |
| Full Name | Dr Jack L Brauer |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 450 Bern Way, Midway, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407187362 | NPI | - | NPPES |
| 1407187362 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47988549921 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack L Brauer, DDS 450 Bern Way, Midway, UT 84049 Ph: (619) 840-7080 | Dr Jack L Brauer, DDS 450 Bern Way, Midway, UT 84049 Ph: (619) 840-7080 |
Spencer N Diehl, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 | |
Dr. David M Prince, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 Fax: 435-654-3949 |