Provider Demographics
NPI:1376741926
Name:BROWN, STEVEN REED (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:REED
Last Name:BROWN
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16127 KASOTA RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2204
Mailing Address - Country:US
Mailing Address - Phone:760-242-5300
Mailing Address - Fax:760-946-4883
Practice Address - Street 1:16127 KASOTA RD
Practice Address - Street 2:SUITE 104
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2204
Practice Address - Country:US
Practice Address - Phone:760-242-5300
Practice Address - Fax:760-946-4883
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543651223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA54365OtherLICENSE NUMBER