Organization
DR JAN BROWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN BROWN DMD (PRESIDENT)
(814) 247-9906
Entity
Organization
Contact information
Practice address
129 LAUREL DR, HASTINGS, PA 16646
(814) 247-9906
(814) 247-6481
Mailing address
PO BOX 683, HASTINGS, PA 16646
(814) 247-9906
(814) 247-6481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020417L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005199860001
ACCESS
PA
01
—
426706
UNITED CONCORDIA
—
Enumeration date
08/19/2006
Last updated
03/10/2008
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