Individual
DR. GARY D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
455 MAIN ST, PAINTSVILLE, KY 41240-1056
(606) 789-5525
(606) 789-2156
Mailing address
455 MAIN ST, PAINTSVILLE, KY 41240-1056
(606) 789-5525
(606) 789-2156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5758
KY
1223G0001X
General Practice Dentistry
Primary
5758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45600319
—
KY
05
—
60057585
—
KY
Enumeration date
12/05/2006
Last updated
11/08/2007
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