MEDICARE: SCOTT RANDALL BROWNING 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
1	1223G0001X	General Practice Dentistry	3063	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3063	OTHER	LA	LA. LIC.

General Provider Information

NPI Number	:	1780764845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT RANDALL BROWNING DDS

Provider Business Mailing Address
First Line	:	9053 SULLIVAN RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-5206
Country	:	US
Telephone Number	:	225-261-9000
Fax Number	:	225-261-6664

Provider Business Practice Location Address
First Line	:	9053 SULLIVAN RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-5206
Country	:	US
Telephone Number	:	225-261-9000
Fax Number	:	225-261-6664

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

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