Individual
DR. DANTE JEROME BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619-3570
(574) 234-9033
(574) 847-7200
Mailing address
19058 AVERS AVE, FLOSSMOOR, IL 60422-1017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012548A
IN
126900000X
Dental Laboratory Technician
12012548A
IN
Other
Enumeration date
06/27/2016
Last updated
06/18/2026
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