Healthcare Provider Details

I. General information

NPI: 1780612705
Provider Name (Legal Business Name): KATHLEEN HERB BROWER DMD, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 ROUTE 202 GEORGETOWN CROSSINGS, STE 210
DOYLESTOWN PA
18901-6601
US

IV. Provider business mailing address

3655 ROUTE 202 GEORGETOWN CROSSINGS, STE 210
DOYLESTOWN PA
18901-6601
US

V. Phone/Fax

Practice location:
  • Phone: 215-794-7976
  • Fax: 215-794-7976
Mailing address:
  • Phone: 215-794-7976
  • Fax: 215-794-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS028192L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: