Individual
ETHAN WILLIAM BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1589 SKEET CLUB RD STE 150, HIGH POINT, NC 27265-8820
(336) 450-2078
Mailing address
725 ADELYNN LN APT 1G, GREENSBORO, NC 27409-9596
(701) 521-0907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14321
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2025
Last updated
07/18/2025
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