Provider Demographics
NPI:1457457467
Name:BROWN II, JOSIAH BENJAMIN II (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSIAH
Middle Name:BENJAMIN
Last Name:BROWN II
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 ACADEMY ST N
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-2972
Mailing Address - Country:US
Mailing Address - Phone:252-332-3377
Mailing Address - Fax:252-332-6560
Practice Address - Street 1:516 ACADEMY ST N
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-2972
Practice Address - Country:US
Practice Address - Phone:252-332-3377
Practice Address - Fax:252-332-6560
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 42791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8991142Medicaid
NC01149OtherBLUE CROSS/ BLUE SHIELD