Brown, Charles Robert
Brown, Charles Robert is an sole proprietor health care provider with primary practice located at 912 S Ridgewood Ave Suite B, Daytona Beach FL 32114-5349. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brown, Charles Robert can be contacted via phone (386) 258-6132.Contact Information
Primary practice address
912 S Ridgewood Ave Suite B
Daytona Beach FL 32114-5349
Phone: (386) 258-6132
Fax: (386) 239-0730
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 5643 | Florida |
Profile Details
NPI number | 1073613600 |
---|---|
LBN Legal business name | Brown, Charles Robert |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 24th, 2006 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073613600 | NPPES |
Florida | Other | 5643 | DENTAL LICENSE NUMBER |
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