Provider Demographics
NPI:1265547343
Name:LOUIS N. BROWN, JR., D.D.S., P.L.
Entity type:Organization
Organization Name:LOUIS N. BROWN, JR., D.D.S., P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-935-6666
Mailing Address - Street 1:1335 W LINEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7755
Mailing Address - Country:US
Mailing Address - Phone:813-935-6666
Mailing Address - Fax:813-935-9416
Practice Address - Street 1:1335 W LINEBAUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7755
Practice Address - Country:US
Practice Address - Phone:813-935-6666
Practice Address - Fax:813-935-9416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8474261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental