Healthcare Provider Details

I. General information

NPI: 1376953547
Provider Name (Legal Business Name): MAUPIN AND BROWN DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N UNION AVE
ROSWELL NM
88201-3209
US

IV. Provider business mailing address

2000 N UNION AVE
ROSWELL NM
88201-3209
US

V. Phone/Fax

Practice location:
  • Phone: 575-627-0141
  • Fax:
Mailing address:
  • Phone: 575-627-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID BROWN
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 575-627-0141