Provider Demographics
NPI:1467506303
Name:BROWN, DAVID ASHLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ASHLEY
Last Name:BROWN
Suffix:
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 1:3514 TORINO WAY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-2238
Mailing Address - Country:US
Mailing Address - Phone:925-687-3999
Mailing Address - Fax:925-687-9959
Practice Address - Street 1:800 C ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-1719
Practice Address - Country:US
Practice Address - Phone:925-757-4700
Practice Address - Fax:925-757-4706
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice