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NPI Code Detail

MEDICARE: DR. BENJAMIN WILLIAM BROWN DDS MS IN ENDO.

MEDICARE:  DR. BENJAMIN WILLIAM BROWN  DDS   MS IN ENDO.
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
11223E0200XEndodontics3169NC

General Provider Information

NPI Number : 1255569745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN WILLIAM BROWN DDS MS IN ENDO.
Provider Business Mailing Address
First Line : 2310 MYRON DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-3358
Country : US
Telephone Number : 919-782-8603
Fax Number : 919-782-1295
Provider Business Practice Location Address
First Line : 2310 MYRON DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-3358
Country : US
Telephone Number : 919-782-8603
Fax Number : 919-782-1295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 03/15/2026

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Directions to “ DR. BENJAMIN WILLIAM BROWN DDS MS IN ENDO.” Practice Location

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