Healthcare Provider Details

I. General information

NPI: 1215134465
Provider Name (Legal Business Name): EMILY MARGARET PRICE BROWN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 08/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 SUNSET OFFICE DR SUITE 210
SAINT LOUIS MO
63127-1015
US

IV. Provider business mailing address

3555 SUNSET OFFICE DR SUITE 210
SAINT LOUIS MO
63127-1015
US

V. Phone/Fax

Practice location:
  • Phone: 314-822-2764
  • Fax: 314-822-5758
Mailing address:
  • Phone: 314-822-2764
  • Fax: 314-822-5758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2004013229
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: