Organization
SCOTT A. BROWN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A BROWN D.D.S. (OWNER/ DENTIST)
(770) 898-2066
Entity
Organization
Contact information
Practice address
2093 JONESBORO RD, MCDONOUGH, GA 30253-5993
(770) 898-2066
(770) 898-8893
Mailing address
2093 JONESBORO RD, MCDONOUGH, GA 30253-5993
(770) 898-2066
(770) 898-8893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343967A
—
GA
05
—
00343967B
—
GA
01
—
0112281
BCBS OF TENNESSEE PROVIDE
GA
01
—
611327
UNITED CONCORDIA PROVIDER
GA
Enumeration date
08/31/2006
Last updated
11/24/2008
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