MEDICARE: ADAMS BROWNE DENTAL ASSOCIATES

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	:	1316172497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMS BROWNE DENTAL ASSOCIATES

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	:	PRESIDENT/OWNER-DENTIST
Name	:	DR. KAYE ADAMS BROWNE
Credential	:	D.D.S.
Telephone Number	:	901-332-7111

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	11/01/2018

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