Healthcare Provider Details

I. General information

NPI: 1013985183
Provider Name (Legal Business Name): BROWN DENTAL OFFICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 S 7 STREET
LAS VEGAS NV
89101
US

IV. Provider business mailing address

803 S 7 STREET
LAS VEGAS NV
89101
US

V. Phone/Fax

Practice location:
  • Phone: 702-384-4721
  • Fax: 702-384-2183
Mailing address:
  • Phone: 702-384-4721
  • Fax: 702-384-2183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2141
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4546T
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number826
License Number StateNV

VIII. Authorized Official

Name: SCOTT W BROWN
Title or Position: PRES OWNER
Credential: DDS
Phone: 702-384-4721