Brown, Marlon Antonio

Brown, Marlon Antonio is an sole proprietor health care provider with primary practice located at 118 Gateway Ln Ste 300 , Bethlehem GA 30620-1852. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is his primary health care specialty. Brown, Marlon Antonio can be contacted via phone (775) 527-3067.

Contact Information

Primary practice address
118 Gateway Ln Ste 300 Bethlehem GA 30620-1852
Phone: (775) 527-3067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 011372 Georgia
Dental Providers / Dental Public Health 1223D0001X DN011372 Georgia

Profile Details

NPI number 1275677932
LBN Legal business name Brown, Marlon Antonio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jun 19th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275677932 NPPES
Nevada MEDICAID 004716904

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