Provider Demographics
NPI:1700080850
Name:KATHLEEN HERB BROWER, DMD, MD, LLC
Entity Type:Organization
Organization Name:KATHLEEN HERB BROWER, DMD, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HERB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MD
Authorized Official - Phone:215-345-6880
Mailing Address - Street 1:3655 ROUTE 202
Mailing Address - Street 2:GEORGETOWN CROSSING, STE 210
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902
Mailing Address - Country:US
Mailing Address - Phone:215-345-6880
Mailing Address - Fax:215-345-6884
Practice Address - Street 1:3655 ROUTE 202
Practice Address - Street 2:GEORGETOWN CROSSING, STE 210
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902
Practice Address - Country:US
Practice Address - Phone:215-345-6880
Practice Address - Fax:215-345-6884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028192L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental