# JANELLA F. BROWN ,D.M.D. PSC.

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

## Provider details

- **NPI number:** 1568642940
- **Authorized official:** MS. SHEILA A. MCCLISTER (OFFICE MANAGER)
- **Authorized official phone:** (270) 384-3481

## Contact information

- **Practice address:** 318 PUBLIC SQ, COLUMBIA, KY 42728-1456
- **Practice address phone:** (270) 384-3481
- **Practice address fax:** (270) 385-9866
- **Mailing address:** 318 PUBLIC SQ, COLUMBIA, KY 42728-1456
- **Mailing address phone:** (270) 384-3481
- **Mailing address fax:** (270) 385-9866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6910 | KY | Yes |
| 1223G0001X | General Practice Dentistry | — | KY | — |
| 261QD0000X | Dental Clinic/Center | 6910 | KY | — |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 03/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 45002326 | — | KY |
| 05 | — | 61943346 | — | KY |
