Organization
DR THAD BROWN DDS
Active
Other names
Thad Brown DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD L BROWN (DR.)
(870) 935-0111
Entity
Organization
Contact information
Practice address
912 OSLER DR STE A, JONESBORO, AR 72401-4330
(870) 935-0111
(870) 935-1806
Mailing address
912 OSLER DR STE A, JONESBORO, AR 72401-4330
(870) 935-0111
(870) 935-1806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2104
AR
1223G0001X
General Practice Dentistry
Primary
3561
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366417081
INDIVIDUAL NPI
AR
01
—
1629091178
NPI INDIVIDUAL
AR
Enumeration date
10/26/2006
Last updated
08/22/2020
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