NPI 1780783118 · live from the CMS NPI Registry
Randall K Brown, DDS MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Evansville, IN. National Provider Identifier 1780783118, active.
NPI record
| NPI | 1780783118 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1330 First Avenue, Evansville, IN 47724 |
| Practice phone | 812-423-6111 |
| Mailing address | Po Box 4009, 1330 First Avenue, Evansville, IN 47724 |
| Enumerated | September 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12007842A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.