Provider Demographics
NPI:1689942310
Name:BROWN FRANKENBERRY PC
Entity Type:Organization
Organization Name:BROWN FRANKENBERRY PC
Other - Org Name:STONE RIDGE ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISHKA
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:FRANKENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-258-1225
Mailing Address - Street 1:24600 MILLSTREAM DR
Mailing Address - Street 2:STE 101
Mailing Address - City:STONE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24600 MILLSTREAM DR
Practice Address - Street 2:STE 101
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-3095
Practice Address - Country:US
Practice Address - Phone:202-258-1225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty