| Brown Dental Office | |
|
415 N Main St Suite 301 Cedar City UT 84720-2678 | |
| (435) 586-3885 | |
| Not Available |
| Full Name | Brown Dental Office |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 415 N Main St, Cedar City, Utah |
| Authorized Official Name and Position | Shawn Brown (OWNER) |
| Authorized Official Contact | 4355863885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Dental Office Po Box 1110 Cedar City UT 84721-1110 Ph: (435) 586-3885 | Brown Dental Office 415 N Main St Suite 301 Cedar City UT 84720-2678 Ph: (435) 586-3885 |
| NPI Number | 1295190742 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 07/28/2016 |
| Medicare PECOS PAC ID | 8527350560 |
|---|---|
| Medicare Enrollment ID | O20160712000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295190742 | NPI | - | NPPES |
| 428194612001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4744889-992 (Utah) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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