Healthcare Provider Details

I. General information

NPI: 1376461772
Provider Name (Legal Business Name): OLIVIA MARIE BROWN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 E PRESTON ST
MOUNT PLEASANT MI
48858-8990
US

IV. Provider business mailing address

5055 REDSTONE RD
SAINT LOUIS MI
48880-9606
US

V. Phone/Fax

Practice location:
  • Phone: 989-772-4026
  • Fax:
Mailing address:
  • Phone: 989-763-2902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901603177
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: