Provider Demographics
NPI:1245495977
Name:BROWN, FELICIA A (DDS)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5706 TIMBER CREEK TER APT 103
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2502
Mailing Address - Country:US
Mailing Address - Phone:202-421-6264
Mailing Address - Fax:202-421-6264
Practice Address - Street 1:123 45TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4632
Practice Address - Country:US
Practice Address - Phone:202-388-7755
Practice Address - Fax:202-388-5202
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10008601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice