Provider Demographics
NPI:1396755807
Name:BROWNING, JASON K (DDS)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:K
Last Name:BROWNING
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 1:1408 HAILEY ST
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:TX
Mailing Address - Zip Code:79556-2508
Mailing Address - Country:US
Mailing Address - Phone:325-235-8020
Mailing Address - Fax:325-236-6268
Practice Address - Street 1:1408 HAILEY ST
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TX
Practice Address - Zip Code:79556-2508
Practice Address - Country:US
Practice Address - Phone:325-235-8020
Practice Address - Fax:325-236-6268
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice