Provider Demographics
NPI:1831210343
Name:BROWN, DENNIS EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:EDWARD
Last Name:BROWN
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 1:116 E. MAIN ST.
Mailing Address - Street 2:P.O. BOX 337
Mailing Address - City:OWENSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45160
Mailing Address - Country:US
Mailing Address - Phone:513-732-6333
Mailing Address - Fax:513-732-3607
Practice Address - Street 1:116 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45160
Practice Address - Country:US
Practice Address - Phone:513-732-6333
Practice Address - Fax:513-732-3607
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0154031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30-015403Medicare UPIN