Jay Douglas Brown in Saint Peters - Dentist
Jay Douglas Brown - NPI 1902826167
Jay Douglas Brown is a Dentist in Saint Peters, Missouri. Jay Douglas Brown practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jay Douglas Brown is 1902826167. The last update date is 2014-03-18.
Jay Douglas Brown's current location address is 6141 Mid Rivers Mall Dr, Saint Peters, Missouri. You can contact this provider via phone number 6364414600 and fax number 6369222094. The mailing address for Jay Douglas Brown is 6141 Mid Rivers Mall Dr, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Douglas Brown |
|---|---|
| Address | 6141 Mid Rivers Mall Dr, Saint Peters, Missouri |
| Phone Number | 6364414600 |
| Fax Number | 6369222094 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1902826167 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2014-03-18 |
Provider Mailing Address Detail
| Address | 6141 Mid Rivers Mall Dr |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633041105 |
| Phone Number | 6364414600 |
| Fax Number | 6369222094 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2010009884 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Jay Douglas Brown by the Centers for Medicare & Medicaid Services?
The Jay Douglas Brown has been issued the NPI (National Provider Identifier) 1902826167, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jay Douglas Brown?
The Jay Douglas Brown is situated at 6141 Mid Rivers Mall Dr, in the city of Saint Peters, state of MO, with the zip code 633041105.
What is Jay Douglas Brown's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jay Douglas Brown's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1902826167 assigned to Jay Douglas Brown?
The Jay Douglas Brown was issued its 1902826167 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jay Douglas Brown most recently updated or revised?
The information pertaining to Jay Douglas Brown, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-18.
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