NPI 1265222004 · live from the CMS NPI Registry
Makela Lynn Brown, DMD
Dentist in Providence, RI. National Provider Identifier 1265222004, active.
NPI record
| NPI | 1265222004 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-793-2695 |
| Enumerated | May 6, 2025 |
| Last updated | June 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist primary | 122300000X | DEN03853 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.