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NPI Code Detail

MEDICARE: BROWN DENTAL GROUP, PLLC

MEDICARE: BROWN DENTAL GROUP, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2539AZ
21223G0001XGeneral Practice Dentistry6566AZ

General Provider Information

NPI Number : 1386789923
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWN DENTAL GROUP, PLLC
Provider Business Mailing Address
First Line : 521 W WETMORE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-1521
Country : US
Telephone Number : 520-888-9047
Fax Number : 520-887-1536
Provider Business Practice Location Address
First Line : 521 W WETMORE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-1521
Country : US
Telephone Number : 520-888-9047
Fax Number : 520-887-1536
Authorized Official
Title or Position : OWNER
Name : DR. ROY ROBERT BROWN III
Credential : D.M.D.
Telephone Number : 520-888-9047
Provider Enumeration Date : 02/21/2007
Last Update Date : 02/23/2017

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Directions to “BROWN DENTAL GROUP, PLLC ” Practice Location

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