Healthcare Provider Details

I. General information

NPI: 1831280346
Provider Name (Legal Business Name): ARLENE BROWN RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 MANCHESTER ST
CONCORD NH
03301-5142
US

IV. Provider business mailing address

68 S MAIN ST
PITTSFIELD NH
03263-3717
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-9474
  • Fax:
Mailing address:
  • Phone: 603-435-6854
  • Fax: 603-435-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1108
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: