MEDICARE: JOANA BROWN DMD LLC

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	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1417810466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOANA BROWN DMD LLC

Provider Business Mailing Address
First Line	:	89 BRISCOE TER
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1127
Country	:	US
Telephone Number	:	908-902-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	4562 US HIGHWAY 9 STE B
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3771
Country	:	US
Telephone Number	:	732-739-7117
Fax Number	:	732-739-7118

Authorized Official
Title or Position	:	PEDIATRIC DENTIST/OWNER
Name	:	DR. JOANA BROWN
Credential	:	DMD
Telephone Number	:	908-902-3350

Provider Enumeration Date	:	12/06/2025
Last Update Date	:	12/06/2025

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