Provider Demographics
NPI:1013418201
Name:BROWNE, CLARK CLAYTON JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLARK
Middle Name:CLAYTON
Last Name:BROWNE
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1837 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2201
Mailing Address - Country:US
Mailing Address - Phone:205-903-5310
Mailing Address - Fax:
Practice Address - Street 1:2816 COLUMBIANA RD STE 102
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2518
Practice Address - Country:US
Practice Address - Phone:205-293-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL64161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics