Provider Demographics
NPI:1770962953
Name:BROWN, KIARA DANIELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:KIARA
Middle Name:DANIELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6798 OAK HALL LN STE A1
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5167
Mailing Address - Country:US
Mailing Address - Phone:410-290-7757
Mailing Address - Fax:410-290-8182
Practice Address - Street 1:405 FREDERICK RD STE 9
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4607
Practice Address - Country:US
Practice Address - Phone:410-744-4484
Practice Address - Fax:410-455-6175
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD173751223S0112X
MO20200141411223S0112X, 204E00000X
390200000X
IL019030447122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No122300000XDental ProvidersDentist