Scott Bradley Brown in San Angelo - Pediatric Dentistry
Scott Bradley Brown - NPI 1679635247
Scott Bradley Brown is a Pediatric Dentistry in San Angelo, Texas. Scott Bradley Brown practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Scott Bradley Brown is 1679635247. The last update date is 2007-07-09.
Scott Bradley Brown's current location address is 3555 Knickerbocker Rd, San Angelo, Texas. You can contact this provider via phone number 3259428564 and fax number 3259420134. The mailing address for Scott Bradley Brown is 3555 Knickerbocker Rd, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Bradley Brown |
|---|---|
| Address | 3555 Knickerbocker Rd, San Angelo, Texas |
| Phone Number | 3259428564 |
| Fax Number | 3259420134 |
| Sole Proprietor | Y |
| Credentials | D.D.S. M. |
NPI Number Detail
| NPI Number | 1679635247 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3555 Knickerbocker Rd |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769047610 |
| Phone Number | 3259428564 |
| Fax Number | 3259420134 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 13529 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Scott Bradley Brown's 1679635247?
The Scott Bradley Brown's NPI (National Provider Identifier) Number is 1679635247. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Scott Bradley Brown's physical address?
The Scott Bradley Brown is physically located at 3555 Knickerbocker Rd, in the city of San Angelo, TX, with the postal code 769047610.
What is Scott Bradley Brown's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Scott Bradley Brown is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679635247 to Scott Bradley Brown?
The Centers for Medicare & Medicaid Services originally issued the 1679635247 to Scott Bradley Brown on 2006-12-13.
When was the information regarding Scott Bradley Brown most recently updated?
The details pertaining to the Scott Bradley Brown, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.