Max Braun, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Fairfield, CT
NPI 1114589017 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1114589017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 12613 (CT)
- Practice address
- 427 Stillson Rd Ste 12
Fairfield, CT 06824-3158 - Phone
- (203) 374-0512
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braun Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Campus Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past |
Accepting new patients |
Locations
427 Stillson Rd
Ste 12
Fairfield, CT 06824
Phone (203) 374-0512
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12613 | CT | Yes |
Addresses
Primary practice location
427 Stillson Rd Ste 12
Fairfield, CT 06824-3158
Mailing address
427 Stillson Rd Ste 12
Fairfield, CT 06824-3158
Phone (203) 374-0512
Other practice location 1
5294 Park Ave
Bridgeport, CT 06604-1018
Phone (203) 212-3200
Other providers in Fairfield, CT
- Bradley W Bloom LCSW LLC
- Keith Bradley
- Koren H. Bradshaw
- Warren Joseph Brandt
- Braun Orthodontics PLLC
- Thomas F Braun
- Samantha Breaz
- Elizabeth V. Brennan
- Michael J. Brennan
- Alexandra Brenner
All providers in Fairfield, CT · Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.