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Organization

JANELLA F. BROWN ,D.M.D. PSC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHEILA A. MCCLISTER (OFFICE MANAGER)
(270) 384-3481
Entity
Organization

Contact information

Practice address
318 PUBLIC SQ, COLUMBIA, KY 42728-1456
(270) 384-3481
(270) 385-9866
Mailing address
318 PUBLIC SQ, COLUMBIA, KY 42728-1456
(270) 384-3481
(270) 385-9866

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6910
KY
1223G0001X
General Practice Dentistry
KY
261QD0000X
Dental Clinic/Center
6910
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45002326
KY
05
61943346
KY
Enumeration date
11/14/2007
Last updated
03/11/2014
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