Provider Demographics
NPI:1841470457
Name:STEVEN R. BROWN DDS MSD PC
Entity type:Organization
Organization Name:STEVEN R. BROWN DDS MSD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:760-242-5300
Mailing Address - Street 1:16127 KASOTA RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2204
Mailing Address - Country:US
Mailing Address - Phone:760-242-5300
Mailing Address - Fax:760-946-4883
Practice Address - Street 1:16127 KASOTA RD
Practice Address - Street 2:SUITE 104
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2204
Practice Address - Country:US
Practice Address - Phone:760-242-5300
Practice Address - Fax:760-946-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543651223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1376741926OtherTYPE 1 NPI