Carson V Brown II DDS LLC
Organization Active NPI Dentist · McElhattan, PA
NPI 1972018174 · NPPES record last updated Dec 11, 2017
Key facts
- NPI
- 1972018174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- DS-026291-L (PA)
- Legal business name
- CARSON V BROWN II DDS LLC
- Practice address
- 550 McElhattan Dr
McElhattan, PA 17748-0450 - Phone
- (570) 769-9130
- Fax
- (570) 769-9133
- NPI assigned
- Dec 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Carson Victor Brown II, DDS
- Title
- Owner
- Phone
- (570) 769-9130
Practitioners 1
-
Liam Joel Register, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DS-026291-L | PA | Yes |
Addresses
Primary practice location
550 McElhattan Dr
McElhattan, PA 17748-0450
Mailing address
PO Box 450
MC Elhattan, PA 17748-0450
Phone (570) 769-9130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18-54448914 | Other | PA | NPI ENTITY 1 |
Other providers in McElhattan, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2017. 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.