Dr. Victor D. Brown, DMD, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. VICTOR D. BROWN, DMD, LLC

Practice address

6 Niles Hill Rd
Coudersport, PA 16915-1211

Phone

(814) 274-1111

Fax

(814) 274-7786

NPI assigned

Oct 29, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victor D Brown, DMDNPI 1245294875

Title

Owner

Phone

(814) 274-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Douglas Brown, DMD

  • Dentist
  • Coudersport, PA
  • NPI 1245294875
  NPD (past) Authorized official
• Larissa Ann Delo, D.D.S.

  • Dentist
  • Coudersport, PA
  • NPI 1114081874
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1336493451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NILES HILL RD",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151211",
            "telephone_number": "814-274-1111",
            "fax_number": "814-274-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NILES HILL RD",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151211",
            "telephone_number": "814-274-1111",
            "fax_number": "814-274-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VICTOR D. BROWN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-274-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007970800003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Sue Darush
• Jennifer Davis, RD, LDN
• Larissa Ann Delo, D.D.S.
• Shelby Dietze
• Dawn Yvonne Dovensky, LCSW
• John Paul Dresser, DPM
• Sara Elizabeth Drummond
• Eagle Emergency Physicians LLC
• Christine Lynn Fillhart, OTR/L
• Bruce Michael Fink, D.C.

• Dentist in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.