| Thad Brown Dds | |
|
912 Osler Dr Ste A Jonesboro AR 72401-4330 | |
| (870) 935-0111 | |
| (870) 935-1806 |
| Full Name | Thad Brown Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 912 Osler Dr Ste A, Jonesboro, Arkansas |
| Authorized Official Name and Position | Thad L Brown (DR.) |
| Authorized Official Contact | 8709350111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thad Brown Dds 912 Osler Dr Ste A Jonesboro AR 72401-4330 Ph: (870) 935-0111 | Thad Brown Dds 912 Osler Dr Ste A Jonesboro AR 72401-4330 Ph: (870) 935-0111 |
| NPI Number | 1114002599 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114002599 | NPI | - | NPPES |
| 1366417081 | Other | AR | INDIVIDUAL NPI |
| 1629091178 | Other | AR | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2104 (Arkansas) | Secondary |
| 1223G0001X | Dentist - General Practice | 3561 (Arkansas) | Primary |
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