Paul Wendell Brown, DMD
Individual provider Active NPI General Practice Dentistry · Apo Ae, NY
NPI 1043250772 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1043250772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 105218 (CO)
- Practice address
- CMR 402
Landstuhl Dental Activity Credentials Office
Apo Ae, NY 09180 - Phone
- (390) 444-7172
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|
| 105218 | CO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105218 | CO | Yes |
Addresses
Primary practice location
CMR 402
Landstuhl Dental Activity Credentials Office
Apo Ae, NY 09180
Mailing address
CMR 402
Landstuhl Dental Activity Credentials Office
Apo Ae, NY 09180
Phone (390) 444-7172
Other providers in Apo Ae, NY
- Ingrid Vickie Beard-Howell
- Timothy Muse Bearden
- Joseph Dennis Berube
- Raymond Earl Blakley
- Malcolm Boykin
- Glenn Robert Casey
- Tracy Louise Coleman
- Benjamin Thompson Cook
- Russell Eric Davis
- Patricia Anne Deland
All providers in Apo Ae, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.