Provider Demographics
NPI:1336155696
Name:BROWN, NEIL W (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:W
Last Name:BROWN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-3826
Mailing Address - Country:US
Mailing Address - Phone:281-342-1517
Mailing Address - Fax:832-451-8006
Practice Address - Street 1:1110 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3826
Practice Address - Country:US
Practice Address - Phone:281-342-1517
Practice Address - Fax:832-451-8006
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD110541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice