NPI Code Details Logo

NPI 1245912096

NPI 1245912096 : DECELIA BROWNE DMD : HARTFORD, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245912096
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DECELIA BROWNE DMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/02/2023
-----------------------------------------------------
    Last Update Date     |    05/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1888 MAIN ST 
-----------------------------------------------------
    City                 |    HARTFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06120-2357
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-970-0928
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    67 IMLAY ST APT B 
-----------------------------------------------------
    City                 |    HARTFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06105-3609
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-409-9744
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    13827
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.