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Organization

H. D. BROWN, D.D.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD D. BROWN D.D.S. (PRESIDENT)
(740) 992-2878
Entity
Organization

Contact information

Practice address
200 W MAIN ST, POMEROY, OH 45769-1287
(740) 992-2878
(740) 992-5390
Mailing address
200 W MAIN ST, P.O. BOX 704, POMEROY, OH 45769-1287
(740) 992-2878
(740) 992-5390

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.011963
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2241514
OH
01
31-0853967-026
CARESOURCE PAYMENT NO.
OH
01
9180660
DORAL PAYMENT NO.
OH
Enumeration date
04/10/2007
Last updated
08/12/2008
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