Provider Demographics
NPI:1578086492
Name:BROWN, AUSTIN KENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:KENT
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 1:5433 CLAYTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1090
Mailing Address - Country:US
Mailing Address - Phone:925-672-1559
Mailing Address - Fax:925-672-1575
Practice Address - Street 1:5433 CLAYTON RD STE D
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1090
Practice Address - Country:US
Practice Address - Phone:925-672-1559
Practice Address - Fax:925-672-1559
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS101489122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist