Provider Demographics
NPI:1740550649
Name:BROWN, ASHLEY RENEE (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:RENEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 HANOVER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2022
Mailing Address - Country:US
Mailing Address - Phone:301-345-2222
Mailing Address - Fax:
Practice Address - Street 1:2500 WALLINGTON WAY
Practice Address - Street 2:#204
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104
Practice Address - Country:US
Practice Address - Phone:410-442-5678
Practice Address - Fax:410-442-0484
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14826122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist