Healthcare Provider Details
I. General information
NPI: 1225124548
Provider Name (Legal Business Name): JANET J BROWN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
380 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-7508
US
IV. Provider business mailing address
700 CHILDRENS DR
COLUMBUS OH
43205-2664
US
V. Phone/Fax
- Phone: 614-722-5650
- Fax:
- Phone: 614-722-5650
- Fax: 614-722-4565
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 30019258 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | 30019258 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: