Provider Demographics
NPI:1477551232
Name:BROWN, CHERIE ANNETTE (DDS, MS)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANNETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 W JEFFERSON AVE
Mailing Address - Street 2:#404
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2038
Mailing Address - Country:US
Mailing Address - Phone:303-986-2212
Mailing Address - Fax:303-986-2767
Practice Address - Street 1:7373 W JEFFERSON AVE
Practice Address - Street 2:#404
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2038
Practice Address - Country:US
Practice Address - Phone:303-986-2212
Practice Address - Fax:303-986-2767
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO84171223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics