MEDICARE: DR. FELICIA A BROWN 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	DEN1000860	DC

General Provider Information

NPI Number	:	1245495977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELICIA A BROWN DDS

Provider Business Mailing Address
First Line	:	5706 TIMBER CREEK TER APT 103
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2502
Country	:	US
Telephone Number	:	202-421-6264
Fax Number	:	202-421-6264

Provider Business Practice Location Address
First Line	:	123 45TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4632
Country	:	US
Telephone Number	:	202-388-7755
Fax Number	:	202-388-5202

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	01/20/2010

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Directions to “ DR. FELICIA A BROWN DDS” Practice Location

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