Provider Demographics
NPI:1114273026
Name:BROWN, CANDACE CHERI (DDS)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:CHERI
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W FM 1382 STE 500
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5806
Mailing Address - Country:US
Mailing Address - Phone:214-562-0424
Mailing Address - Fax:
Practice Address - Street 1:145 W FM 1382 STE 500
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5806
Practice Address - Country:US
Practice Address - Phone:972-291-0800
Practice Address - Fax:972-291-0801
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice