Provider Demographics
NPI:1295752194
Name:CHRISTOPHER H. BROWN, BS DENT, DDS,PA
Entity type:Organization
Organization Name:CHRISTOPHER H. BROWN, BS DENT, DDS,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-327-7867
Mailing Address - Street 1:261 18TH STREET CIR SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1362
Mailing Address - Country:US
Mailing Address - Phone:828-327-7867
Mailing Address - Fax:828-327-6299
Practice Address - Street 1:261 18TH STREET CIR SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1362
Practice Address - Country:US
Practice Address - Phone:828-327-7867
Practice Address - Fax:828-327-6299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8903349Medicaid
NC890336NMedicaid