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NPI Code Detail

MEDICARE: DR. MICHAEL BROWN DDS

MEDICARE: DR. MICHAEL 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 Dentistry15343MD
21223G0001XGeneral Practice Dentistry1001336DC

General Provider Information

NPI Number : 1669876009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL BROWN DDS
Provider Business Mailing Address
First Line : 5805 SILVER HILL RD
Second Line : SUITE 6
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1170
Country : US
Telephone Number : 301-568-8447
Fax Number :
Provider Business Practice Location Address
First Line : 14264 ARBOR FOREST DR
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-7479
Country : US
Telephone Number : 240-476-7967
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2014
Last Update Date : 10/14/2014

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Directions to “ DR. MICHAEL BROWN DDS” Practice Location

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