Provider Demographics
NPI:1316561103
Name:BROWN ABSHER, PEYTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:PEYTON
Middle Name:
Last Name:BROWN ABSHER
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 1:147 W MEADOW DR # E3
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9396
Mailing Address - Country:US
Mailing Address - Phone:828-773-3922
Mailing Address - Fax:
Practice Address - Street 1:200 W PARK CIR STE C
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3583
Practice Address - Country:US
Practice Address - Phone:336-568-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC11848122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program