Provider Demographics
NPI:1235282062
Name:BROWN, LYNSEY W (DMD)
Entity Type:Individual
Prefix:DR
First Name:LYNSEY
Middle Name:W
Last Name:BROWN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 STARMOUNT CIR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3817
Mailing Address - Country:US
Mailing Address - Phone:256-536-7700
Mailing Address - Fax:256-489-7733
Practice Address - Street 1:2213 STARMOUNT CIR.
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3817
Practice Address - Country:US
Practice Address - Phone:256-536-7700
Practice Address - Fax:256-489-7733
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL54271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice