# RYAN S. BROWN, DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Kids' Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063788768
- **Authorized official:** DR. RYAN S BROWN DDS (DR/OWNER)
- **Authorized official phone:** (928) 445-5959

## Contact information

- **Practice address:** 3140 CLEARWATER DR, PRESCOTT, AZ 86305-7131
- **Practice address phone:** (928) 445-5959
- **Practice address fax:** (928) 445-5989
- **Mailing address:** 3140 CLEARWATER DR, PRESCOTT, AZ 86305-7131
- **Mailing address phone:** (928) 445-5959
- **Mailing address fax:** (928) 445-5989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D6985 | AZ | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012