# DR JOHN G BRANZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851550800
- **Authorized official:** DR. JOHN GUY BRANZ DDS (OWNER)
- **Authorized official phone:** (208) 752-4681

## Contact information

- **Practice address:** 413 PINE ST, WALLACE, ID 83873-2256
- **Practice address phone:** (208) 752-4681
- **Practice address fax:** (208) 752-1259
- **Mailing address:** 413 PINE STREET, WALLACE, ID 83873
- **Mailing address phone:** (208) 752-4681
- **Mailing address fax:** (208) 752-1259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | ID | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008