Individual
MICHAEL W BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2308 HIGHWAY 367 N, SUITE 300, NEWPORT, AR 72112-2326
(870) 523-6574
(870) 523-4672
Mailing address
2308 HIGHWAY 367 N, SUITE 300, NEWPORT, AR 72112-2326
(870) 523-6574
(870) 523-4672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2148
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58480
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/27/2005
Last updated
07/08/2007
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