E Joanne Brown DDS PA

Organization Active NPI General Practice Dentistry · Leoti, KS

NPI 1811237837 · NPPES record last updated Feb 28, 2013

Key facts

NPI
1811237837
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
60036 (KS)
Legal business name
E JOANNE BROWN DDS PA
Practice address
201 W Broadway
Leoti, KS 67861-7012
Phone
(620) 375-4533
Fax
(620) 375-4588
NPI assigned
Feb 28, 2013
Organization subpart
No

Authorized official

Name
Dr. Joanne Brown, DDS
Title
Dentist / Owner
Phone
(620) 375-4533

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

201 W Broadway
Leoti, KS 67861
Phone (620) 375-4533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 60036 KS Yes

Addresses

Primary practice location

201 W Broadway
Leoti, KS 67861-7012

Mailing address

201 W Broadway
Leoti, KS 67861-7012
Phone (620) 375-4533

Other identifiers

IdentifierTypeStateIssuer
100389050BMedicaidKS

Other names

  • Great Plains Family Dentistry Other name

Other providers in Leoti, KS

All providers in Leoti, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.