# BROWN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013382001
- **Authorized official:** CONNIE R. BROWN (DIRECTOR OF BUSINESS DEVELOPMENT)
- **Authorized official phone:** (817) 625-1548

## Contact information

- **Practice address:** 4004 WHITE SETTLEMENT RD, FORT WORTH, TX 76107-1162
- **Practice address phone:** (817) 625-1548
- **Practice address fax:** (817) 625-2712
- **Mailing address:** 4004 WHITE SETTLEMENT RD, FORT WORTH, TX 76107-1162
- **Mailing address phone:** (817) 625-1548
- **Mailing address fax:** (817) 625-2712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2015
- **Last updated:** 12/02/2015