Provider Demographics
NPI:1437344868
Name:WES BROWN,DDS
Entity Type:Organization
Organization Name:WES BROWN,DDS
Other - Org Name:WES BROWN ,DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOUGHYT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-490-9995
Mailing Address - Street 1:8164 ROBIN HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-3086
Mailing Address - Country:US
Mailing Address - Phone:812-490-9995
Mailing Address - Fax:812-490-9986
Practice Address - Street 1:8164 ROBIN HILL RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-3086
Practice Address - Country:US
Practice Address - Phone:812-490-9995
Practice Address - Fax:812-490-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty