Eric Brown, DDS
Individual provider Active NPI Dentist · Elmendorf Afb, AK
NPI 1437250016 · NPPES record last updated Sep 6, 2007
Key facts
- NPI
- 1437250016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30-022398 (OH)
- Practice address
- 5955 Zeamer Ave
3Rd MDG/SGD
Elmendorf Afb, AK 99506-3702 - Phone
- (907) 580-5106
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 30-022398 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-022398 | OH | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
3Rd MDG/SGD
Elmendorf Afb, AK 99506-3702
Mailing address
1311 W 7TH Ave
Anchorage, AK 99501-3210
Phone (907) 301-7415
Other providers in Elmendorf Afb, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 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.