Provider Demographics
NPI:1003909938
Name:BROWNE, WINSTON MELVILLE III (DDS)
Entity Type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:MELVILLE
Last Name:BROWNE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:18197 VIRGINIA AVENUE
Mailing Address - City:BOYKINS
Mailing Address - State:VA
Mailing Address - Zip Code:23827
Mailing Address - Country:US
Mailing Address - Phone:757-654-6226
Mailing Address - Fax:757-654-9006
Practice Address - Street 1:18197 VIRGINIA AVENUE
Practice Address - Street 2:
Practice Address - City:BOYKINS
Practice Address - State:VA
Practice Address - Zip Code:23827
Practice Address - Country:US
Practice Address - Phone:757-654-6226
Practice Address - Fax:757-654-9006
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010067761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
043488OtherANTHEM