Organization Name: | MARC P. BROWN DDS PA |
NPI Number: | 1144340456 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC P BROWN (PRESIDENT) |
Mailing Address: | 101 Shattuck Way Ste 3 Newington |
State: | NH US |
Postal Code: | 038017876 |
Phone Number: | 6034314601 |
Fax Number: | 6034311741 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 2404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |