Healthcare Provider Details

I. General information

NPI: 1164348520
Provider Name (Legal Business Name): BRIANNA MARIE BROWN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 N DEARBORN ST STE 2400
CHICAGO IL
60602-3109
US

IV. Provider business mailing address

3370 N OTTER CREEK RD
MONROE MI
48161-9577
US

V. Phone/Fax

Practice location:
  • Phone: 773-284-1645
  • Fax:
Mailing address:
  • Phone: 734-790-9921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037266
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: