# CARSON V BROWN II DDS LLC

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

## Provider details

- **NPI number:** 1972018174
- **Authorized official:** CARSON VICTOR BROWN II DDS (OWNER)
- **Authorized official phone:** (570) 769-9130

## Contact information

- **Practice address:** 550 MCELHATTAN DR, MCELHATTAN, PA 17748-0450
- **Practice address phone:** (570) 769-9130
- **Practice address fax:** (570) 769-9133
- **Mailing address:** PO BOX 450, MC ELHATTAN, PA 17748-0450
- **Mailing address phone:** (570) 769-9130
- **Mailing address fax:** (570) 769-9133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS-026291-L | PA | Yes |

## Other

- **Enumeration date:** 12/11/2017
- **Last updated:** 12/11/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 18-54448914 | NPI ENTITY 1 | PA |