# BROWN DENTAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodman Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386789923
- **Authorized official:** DR. ROY ROBERT BROWN III D.M.D. (OWNER)
- **Authorized official phone:** (520) 888-9047

## Contact information

- **Practice address:** 521 W WETMORE RD, TUCSON, AZ 85705-1521
- **Practice address phone:** (520) 888-9047
- **Practice address fax:** (520) 887-1536
- **Mailing address:** 521 W WETMORE RD, TUCSON, AZ 85705-1521
- **Mailing address phone:** (520) 888-9047
- **Mailing address fax:** (520) 887-1536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2539 | AZ | — |
| 1223G0001X | General Practice Dentistry | 6566 | AZ | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 02/23/2017
