Provider Demographics
NPI:1942357603
Name:BROWNING, RICHARD DEAN (DDS, MS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DEAN
Last Name:BROWNING
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WATER ST
Mailing Address - Street 2:K-3
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4124
Mailing Address - Country:US
Mailing Address - Phone:831-426-3538
Mailing Address - Fax:831-426-5329
Practice Address - Street 1:550 WATER ST
Practice Address - Street 2:K-3
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4124
Practice Address - Country:US
Practice Address - Phone:831-426-3538
Practice Address - Fax:831-426-5329
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275901223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics