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NPI Code Detail

MEDICARE: DR. DAVID THOMAS BROWN DDS

MEDICARE:  DR. DAVID THOMAS 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
11223G0001XGeneral Practice Dentistry2901012181MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376547208
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID THOMAS BROWN DDS
Provider Business Mailing Address
First Line : 2134 E G AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49004-1751
Country : US
Telephone Number : 269-349-4231
Fax Number :
Provider Business Practice Location Address
First Line : 2134 E G AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49004-1751
Country : US
Telephone Number : 269-349-4231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 01/31/2016

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Directions to “ DR. DAVID THOMAS BROWN DDS” Practice Location

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