Provider Demographics
NPI:1659423135
Name:BROWN, STEVEN LEWIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEWIS
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 1:8035 MADISON AVE STE G1
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-7949
Mailing Address - Country:US
Mailing Address - Phone:916-965-5787
Mailing Address - Fax:
Practice Address - Street 1:8035 MADISON AVE STE G1
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7949
Practice Address - Country:US
Practice Address - Phone:916-965-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26741-DW1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery