MEDICARE: KAYE ADAMS BROWNE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS0000004739	TN

General Provider Information

NPI Number	:	1104009364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYE ADAMS BROWNE DDS

Provider Business Mailing Address
First Line	:	1128 WINCHESTER RD STE 108
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-3151
Country	:	US
Telephone Number	:	901-332-7111
Fax Number	:	901-332-7733

Provider Business Practice Location Address
First Line	:	1128 WINCHESTER RD STE 108
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-3151
Country	:	US
Telephone Number	:	901-332-7111
Fax Number	:	901-332-7733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	04/28/2023

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