MEDICARE: DR. NEIL DAVID BROWNING DMD

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	122300000X	Dentist	DN012735	GA

General Provider Information

NPI Number	:	1770677544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL DAVID BROWNING DMD

Provider Business Mailing Address
First Line	:	1118 DREWSBURY CT SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-3959
Country	:	US
Telephone Number	:	770-319-9882
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 LANGLEY DR
Second Line	:	SUITE D
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-6909
Country	:	US
Telephone Number	:	770-963-4999
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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