MEDICARE: DR. MARK WILLIAM BROWN D.D.S

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	35843	CA

General Provider Information

NPI Number	:	1407931348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK WILLIAM BROWN D.D.S

Provider Business Mailing Address
First Line	:	PO BOX 209
Second Line	:
City	:	BIG BEAR CITY
State	:	CA
Zip	:	92314-0209
Country	:	US
Telephone Number	:	909-585-4610
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 WEST MOJAVE DR.
Second Line	:
City	:	BIG BEAR CITY
State	:	CA
Zip	:	92314-0209
Country	:	US
Telephone Number	:	909-585-4610
Fax Number	:

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336035765 — TERRAN DARNELL HOLLAND
Practice Location Address:

3206 UNIVERSITY COMMONS DR
STAR CITY, WV
26505-0209

Practice Phone: 681-209-1314
Practice Fax:

1164432019 — MS. CAROL A. TREADWELL L.C.S.W.
Practice Location Address:

848 PANAMINT MOUNTAIN DRIVE
BIG BEAR CITY, CA
92314-2523

Practice Phone: 909-878-4388
Practice Fax:

1225142565 — MS. RENNIE JEAN HORNEMAN LVN
Practice Location Address:

1085 GOLD MOUNTAIN DR
BIG BEAR CITY, CA
92314-9482

Practice Phone: 909-585-0033
Practice Fax:

1174604557 — BIG BEAR CITY COMMUNITY SERVICES DISTRICT
Practice Location Address:

301 WEST BIG BEAR BLVD
BIG BEAR CITY, CA
92314

Practice Phone: 909-584-4024
Practice Fax: 909-585-0348

1639250046 — MOUNTAIN LAKES MEDICAL SUPPLY INC
Practice Location Address:

226 E. FAIRWAY BLVD
BIG BEAR CITY, CA
92314-9050

Practice Phone: 909-585-1339
Practice Fax: 909-585-3646

1740492669 — MS. MELISA FITZGERALD LMFT
Practice Location Address:

332 SAN ANSELMO
BIG BEAR CITY, CA
92314

Practice Phone: 909-645-8191
Practice Fax:

Directions to “ DR. MARK WILLIAM BROWN D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.