Organization
SHAWN H BROWN DDS PC
Active
Other names
Brown Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BROWN (OWNER)
(435) 586-3885
Entity
Organization
Contact information
Practice address
415 N MAIN ST, SUITE 301, CEDAR CITY, UT 84720-2678
(435) 586-3885
Mailing address
PO BOX 1110, CEDAR CITY, UT 84721-1110
(435) 586-3885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4744889-992
UT
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428194612001
—
UT
Enumeration date
12/29/2015
Last updated
07/28/2016
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