Provider Demographics
NPI:1902226939
Name:BROWN, ALVIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4551
Mailing Address - Country:US
Mailing Address - Phone:301-899-1960
Mailing Address - Fax:301-899-2365
Practice Address - Street 1:6001 ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4551
Practice Address - Country:US
Practice Address - Phone:301-899-1960
Practice Address - Fax:301-899-2365
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10733122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist