Healthcare Provider Details

I. General information

NPI: 1215506977
Provider Name (Legal Business Name): MONICA BROWN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2905 ROCKFISH VALLEY HWY
NELLYSFORD VA
22958-2311
US

IV. Provider business mailing address

405 PELHAM DR
WAYNESBORO VA
22980-1512
US

V. Phone/Fax

Practice location:
  • Phone: 434-361-2442
  • Fax:
Mailing address:
  • Phone: 716-308-0560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401419295
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: