Provider Demographics
NPI:1912388372
Name:BROWNING, SANDRA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:BROWNING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:LEEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:3515 W SOUTHERN AVE STE 152
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-4229
Mailing Address - Country:US
Mailing Address - Phone:602-268-0006
Mailing Address - Fax:623-877-9339
Practice Address - Street 1:3515 W SOUTHERN AVE STE 152
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-4229
Practice Address - Country:US
Practice Address - Phone:602-268-0006
Practice Address - Fax:623-877-9339
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD92581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice