Healthcare Provider Details

I. General information

NPI: 1841815651
Provider Name (Legal Business Name): JOSEPH CHARLES BROWNING DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36461 N SUMMIT VILLAGE WAY
OCONOMOWOC WI
53066-8808
US

IV. Provider business mailing address

1621 MAMEROW LN W
OCONOMOWOC WI
53066-4100
US

V. Phone/Fax

Practice location:
  • Phone: 570-878-7674
  • Fax:
Mailing address:
  • Phone: 570-878-7674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number6001149-15
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: