Provider Demographics
NPI:1386679090
Name:BROWN, STEVEN A (DMD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3187
Mailing Address - Country:US
Mailing Address - Phone:401-885-8575
Mailing Address - Fax:401-885-8577
Practice Address - Street 1:990 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3187
Practice Address - Country:US
Practice Address - Phone:401-885-8575
Practice Address - Fax:401-885-8577
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI24111223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3381239OtherAETA HMO PAWT
RI145482OtherUHC SENIOR CARE COV
RI2002411OtherDELTA DENTAL PAWTUCKET
RI3381181OtherAETNA HMO EG
RI3381239OtherAETNA HMO PAWT
RI83562OtherBC PAWTUCKET
RI145483OtherUHC SENIOR CARE EG
RI145484OtherUHC SENIOR CARE PAWTUCKET
MA1508OtherDELTA DENTAL OF MASS
RI5002411OtherDELTA DENTAL COVENTRY
RI8000317OtherUNITED HEALTH CARE
RI4002411OtherDELTA DENTAL EG
RI84420OtherBC EGREENWICH
RI84475OtherBC COVENTRY
RI410817OtherBLUECHIP
RI7017477OtherAETNA PPO
RI3381181OtherAETNA HMO EG