Individual
DESMON ANTONIO BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 W. 10TH STREET, #3101, INDIANAPOLIS, IN 46202-2859
(317) 630-6297
(317) 630-2424
Mailing address
1168 WESTVALIE DRIVE, CARMEL, IN 46032
(904) 537-5764
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12011641A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DRP560
FL
Other
Enumeration date
06/07/2007
Last updated
04/11/2025
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