Individual
BROCKTON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3000 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4239
(870) 917-4148
Mailing address
22 DOGWOOD CIR, WEST PLAINS, MO 65775-5171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025027793
MO
Other
Enumeration date
05/15/2023
Last updated
08/04/2025
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