# MICHELLE D. BROWN DDS, & MICHAEL B. MOORE DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oceana Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518066356
- **Authorized official:** DR. MICHELLE DAWNE BROWN DDS (PRESIDENT)
- **Authorized official phone:** (304) 682-6104

## Contact information

- **Practice address:** 1427 RITCHIE STREET & COOK PARKWAY, OCEANA, WV 24870-1438
- **Practice address phone:** (304) 682-6104
- **Practice address fax:** (304) 682-6157
- **Mailing address:** PO BOX 1438, OCEANA, WV 24870-1438
- **Mailing address phone:** (304) 682-6104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | -002 | WV | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810004900 | — | WV |