Provider Demographics
NPI:1639899321
Name:ALISON BROWN PLLC
Entity Type:Organization
Organization Name:ALISON BROWN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:GARRAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-566-7129
Mailing Address - Street 1:695 KENSINGTON PL
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-5056
Mailing Address - Country:US
Mailing Address - Phone:214-566-7129
Mailing Address - Fax:
Practice Address - Street 1:4613 STONEWALL ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-6006
Practice Address - Country:US
Practice Address - Phone:903-455-6075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty