Charles R Brown in Poulsbo - Pediatric Dentistry

Charles R Brown - NPI 1396890810

Charles R Brown is a Pediatric Dentistry in Poulsbo, Washington. Charles R Brown practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Charles R Brown is 1396890810. The last update date is 2007-07-08.

Charles R Brown's current location address is 19365 7th Ave Ne, Poulsbo, Washington. You can contact this provider via phone number 3607797115 and fax number 3607793990. The mailing address for Charles R Brown is 19365 7th Ave Ne, Poulsbo, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles R Brown
Address 19365 7th Ave Ne, Poulsbo, Washington
Phone Number 3607797115
Fax Number 3607793990
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1396890810
Provider Enumeration Date 2007-01-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19365 7th Ave Ne
City Poulsbo
State Washington (WA)
Post Code 983707441
Phone Number 3607797115
Fax Number 3607793990

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 4905
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5003603 WA --

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FAQs about Charles R Brown

What is the unique 10-digit identifier code issued to Charles R Brown by the Centers for Medicare & Medicaid Services?

The Charles R Brown has been assigned the NPI (National Provider Identifier) 1396890810 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Charles R Brown is located?

The Charles R Brown is situated at the following address: 19365 7Th Ave Ne, Poulsbo, WA, 983707441.

What is Charles R Brown's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles R Brown is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the Charles R Brown receive its 1396890810 assignment from the Centers for Medicare & Medicaid Services?

The Charles R Brown was assigned its 1396890810 by the Centers for Medicare & Medicaid Services on 2007-01-24.

When was the Charles R Brown's information last updated?

The Charles R Brown's information was last updated on 2007-07-08.

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