Nicolas Ryan Brown, DMD
Individual provider Active NPI General Practice Dentistry · Cullman, AL
NPI 1194038422 · NPPES record last updated Aug 16, 2010
Key facts
- NPI
- 1194038422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5736 (AL)
- Practice address
- 704 2ND Ave SW
Cullman, AL 35055-4221 - Phone
- (256) 739-5533
- NPI assigned
- Jul 15, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 5736 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kari L. Bartlett, DMD, LLC Dba Dental Arts Cullman | General Practice | Past | Accepting new patients |
| Thomas a. Barnes, DMD, Dba Dental Arts | General Practice | Past | Accepting new patients |
| Nicolas Brown, DMD General Dentistry, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5736 | AL | Yes |
Addresses
Primary practice location
704 2ND Ave SW
Cullman, AL 35055-4221
Mailing address
704 2ND Ave SW
Cullman, AL 35055-4221
Phone (256) 739-5533
Other providers in Cullman, AL
- Sileah Brock
- Nichole C Brooks
- Stacy Brooks
- Amber S Brown
- Madison Brown
- Patrick R Brown
- Sherry N Brown
- Tracy Danielle Brown
- William Kiah Brown
- Lena Kay Broyles
All providers in Cullman, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2010. 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.