Provider Demographics
NPI:1841377827
Name:BROWN, CAROL ELAINE (DDS MS PA)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELAINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS MS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2601 OAKCREST AVENUE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4719
Mailing Address - Country:US
Mailing Address - Phone:336-286-8111
Mailing Address - Fax:336-286-8999
Practice Address - Street 1:2601 OAKCREST AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4719
Practice Address - Country:US
Practice Address - Phone:336-286-8111
Practice Address - Fax:336-286-8999
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC62061223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics