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Organization

MARY WEBB BROWN DMD, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY WEBB BROWN DMD (OWNER)
(270) 338-0606
Entity
Organization

Contact information

Practice address
203 S CHERRY ST, GREENVILLE, KY 42345-1225
(270) 338-0606
(270) 338-0617
Mailing address
203 S CHERRY ST, GREENVILLE, KY 42345-1225
(270) 338-0606
(270) 338-0617

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6234
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437198587
NPI
01
60062346
MEDICARE
05
60062346
KY
Enumeration date
11/23/2011
Last updated
08/17/2016
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