Gary D. Brown, D.M.D.
Individual provider Active NPI General Practice Dentistry · Paintsville, KY
NPI 1003974536 · NPPES record last updated Nov 8, 2007
Key facts
- NPI
- 1003974536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5758 (KY)
- Practice address
- 455 Main St
Paintsville, KY 41240-1056 - Phone
- (606) 789-5525
- Fax
- (606) 789-2156
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5758 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5758 | KY | Yes |
| Dentist | 122300000X | 5758 | KY |
Addresses
Primary practice location
455 Main St
Paintsville, KY 41240-1056
Mailing address
455 Main St
Paintsville, KY 41240-1056
Phone (606) 789-5525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45600319 | Medicaid | KY | |
| 60057585 | Medicaid | KY |
Other providers in Paintsville, KY
- Carol Booth
- Lynnette Wells Bragg
- Broadway Clinic Pharmacy Inc
- Broadway Clinic Pharmacy Inc
- Andrew Brown
- Don Victor Bryson
- Nicole Burchett
- Kari Nicole Burt
- Christa Kay Butcher
- Stacy Ann Butcher
All providers in Paintsville, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.