Healthcare Provider Details

I. General information

NPI: 1548372527
Provider Name (Legal Business Name): CHRISTOPHER GEORGE BROWNING DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13961 60TH ST ST CROIX VALLEY DENTAL
STILLWATER MN
55082
US

IV. Provider business mailing address

PO BOX 291 ST CROIX VALLEY DENTAL PLLC
STILLWATER MN
55082
US

V. Phone/Fax

Practice location:
  • Phone: 651-439-2600
  • Fax: 651-439-2211
Mailing address:
  • Phone: 651-439-2600
  • Fax: 651-439-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD11480
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number5532015
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: