Healthcare Provider Details

I. General information

NPI: 1700080850
Provider Name (Legal Business Name): KATHLEEN HERB BROWER, DMD, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 ROUTE 202 GEORGETOWN CROSSING, STE 210
DOYLESTOWN PA
18902
US

IV. Provider business mailing address

3655 ROUTE 202 GEORGETOWN CROSSING, STE 210
DOYLESTOWN PA
18902
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-6880
  • Fax: 215-345-6884
Mailing address:
  • Phone: 215-345-6880
  • Fax: 215-345-6884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDS028192L
License Number StatePA

VIII. Authorized Official

Name: DR. KATHLEEN E HERB
Title or Position: OWNER
Credential: DMD, MD
Phone: 215-345-6880