Jordan Brown, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN016077 Issued in GA

Practice address

2688 Moore Station Rd
Dublin, GA 31021-2505

Phone

(478) 274-8331

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1174140131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 CLAXTON DAIRY RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2688 MOORE STATION RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212505",
            "telephone_number": "478-274-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Brown, DMD
• Felisha Brown, LCSW
• Genelle McDonald Brown, MED. CCC-SLP
• George Davey Brown, R.PH.
• Georgette Lacosta Brown, LCSW
• Judy J. Brown, RN
• Pamela Denise Brown, APRN-CNP
• Raven Sarjeva Brown, CTRS
• Tamika Lafaye Brown, LPN
• Timothy Scott Bruckmair, D.M.D.

• General Practice Dentistry in Dublin, GA
• Providers in Dublin, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.