Organization
DR. BROWN'S CHILDREN'S DENTAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A BROWN DMD (OWNER/PRESIDENT)
(570) 288-4591
Entity
Organization
Contact information
Practice address
487 NORTHAMPTON ST, KINGSTON, PA 18704-4509
(570) 288-4591
(570) 714-7793
Mailing address
487 NORTHAMPTON ST, KINGSTON, PA 18704-4509
(570) 288-4591
(570) 714-7793
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS027347L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012859610003
PA MEDICAL ASSISTANCE
PA
Enumeration date
03/13/2013
Last updated
03/13/2013
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