Provider Demographics
NPI:1205421583
Name:BROWN, PIERPONT FLANDERS IV (DMD)
Entity type:Individual
Prefix:DR
First Name:PIERPONT
Middle Name:FLANDERS
Last Name:BROWN
Suffix:IV
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:PEP
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1820 BLUE RIDGE DR NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-1210
Mailing Address - Country:US
Mailing Address - Phone:770-403-0259
Mailing Address - Fax:
Practice Address - Street 1:4031 EXECUTIVE DR STE 100
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:GA
Practice Address - Zip Code:30566-2829
Practice Address - Country:US
Practice Address - Phone:770-503-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1224731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics