Provider Demographics
NPI:1952848921
Name:UPPER BUCKS DENTAL ARTS, LLC
Entity Type:Organization
Organization Name:UPPER BUCKS DENTAL ARTS, LLC
Other - Org Name:KELLY J HALLE BROWN, DMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HALLE BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-528-1793
Mailing Address - Street 1:2100 QUAKER POINTE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2182
Mailing Address - Country:US
Mailing Address - Phone:215-538-2344
Mailing Address - Fax:215-538-8000
Practice Address - Street 1:2100 QUAKER POINTE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2182
Practice Address - Country:US
Practice Address - Phone:215-538-2344
Practice Address - Fax:215-538-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0389521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty