Individual
MR. PHILIP E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 BIGGS LANE, SOUTH SHORE, KY 41175
(606) 932-3181
(606) 932-6691
Mailing address
PO BOX 929, SOUTH SHORE, KY 41175
(606) 932-3181
(606) 932-6691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5164
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601218
—
OH
05
—
60051646
—
KY
Enumeration date
12/18/2006
Last updated
07/08/2007
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