Provider Demographics
NPI:1184886830
Name:BROWNE, CLARK C (DMD)
Entity type:Individual
Prefix:DR
First Name:CLARK
Middle Name:C
Last Name:BROWNE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1847
Mailing Address - Country:US
Mailing Address - Phone:205-978-1500
Mailing Address - Fax:205-978-8855
Practice Address - Street 1:701 MONTGOMERY HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1847
Practice Address - Country:US
Practice Address - Phone:205-978-1500
Practice Address - Fax:205-978-8855
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics