Provider Demographics
NPI:1821133349
Name:ALFRED B. BROWN DDS, PA
Entity Type:Organization
Organization Name:ALFRED B. BROWN DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE STAFF
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-999-7600
Mailing Address - Street 1:1601 MILLTOWN RD STE 19
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4084
Mailing Address - Country:US
Mailing Address - Phone:302-999-7600
Mailing Address - Fax:302-998-6704
Practice Address - Street 1:1601 MILLTOWN RD STE 19
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4084
Practice Address - Country:US
Practice Address - Phone:302-999-7600
Practice Address - Fax:302-998-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE=========OtherTIN