Justin David Brown, D.D.S.

General Practice Dentistry · Peru, IN

Individual Active NPI

NPI number 1013110568

Practice location

5 Logan St
Peru, IN 46970-1642
Phone
(765) 473-9336
Fax
(765) 473-9346

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NPI record

NPI
1013110568
Entity type
Individual (Type 1)
Enumeration date
June 11, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010988A IN

Mailing address

366 W 12TH St
Peru, IN 46970-1549
Phone
(765) 461-5437

About Dr. Brown

Justin David Brown, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5 Logan St, Peru, IN 46970-1642. The NPI number 1013110568 was assigned on June 11, 2007 and the record was last updated on July 8, 2007.

Dr. Brown lists a license in the registry: #12010988A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Justin David Brown, D.D.S.?

The NPI number is 1013110568.

What is the phone number of Dr. Brown?

The phone number listed for the practice location is (765) 473-9336.

Where is Dr. Brown located?

5 Logan St, Peru, IN 46970-1642.

What is the taxonomy code for Dr. Brown?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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