Provider Demographics
NPI:1851410955
Name:BROWN, CRAIG KENNETH (CRAIG BROWN DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:KENNETH
Last Name:BROWN
Suffix:
Gender:M
Credentials:CRAIG BROWN DDS
Other - Prefix:DR
Other - First Name:CRAIG
Other - Middle Name:KENNETH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRAIG BROWN DDS
Mailing Address - Street 1:9316 LOUETTA RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6520
Mailing Address - Country:US
Mailing Address - Phone:281-376-2706
Mailing Address - Fax:
Practice Address - Street 1:9316 LOUETTA RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6520
Practice Address - Country:US
Practice Address - Phone:281-376-2706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry