Healthcare Provider Details

I. General information

NPI: 1033147830
Provider Name (Legal Business Name): DEBORAH ANN BROWN MD,DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1993 COUNTY ROAD 1
DUNEDIN FL
34698-2833
US

IV. Provider business mailing address

1993 COUNTY ROAD 1
DUNEDIN FL
34698-2833
US

V. Phone/Fax

Practice location:
  • Phone: 727-738-1716
  • Fax: 727-738-0472
Mailing address:
  • Phone: 727-738-1716
  • Fax: 727-738-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN12279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: