Provider Demographics
NPI:1912957523
Name:BROWN-FLOYD, BARBARA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:BROWN-FLOYD
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 1:133 BENNETT ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-1605
Mailing Address - Country:US
Mailing Address - Phone:864-242-9129
Mailing Address - Fax:864-242-2429
Practice Address - Street 1:133 BENNETT ST
Practice Address - Street 2:SUITE B
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1605
Practice Address - Country:US
Practice Address - Phone:864-242-9129
Practice Address - Fax:864-242-2429
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZA9579Medicaid
SCZ22477Medicaid
SC2247OtherSC DENTAL LIC #