MEDICARE: DR. EMILY JO BROWNER DMD

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	122300000X	Dentist	25770	TX
2	1223G0001X	General Practice Dentistry	6085	NV

General Provider Information

NPI Number	:	1215244926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY JO BROWNER DMD

Provider Business Mailing Address
First Line	:	4280 S HUALAPAI WAY STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8397
Country	:	US
Telephone Number	:	702-640-0004
Fax Number	:	702-549-5415

Provider Business Practice Location Address
First Line	:	4280 S HUALAPAI WAY STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8397
Country	:	US
Telephone Number	:	702-640-0004
Fax Number	:	702-549-5415

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

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	10/02/2024

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