Desmond Antonio Brown JR.
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1001 W. 10th Street #3101
Indianapolis
, Indiana 46202-2859
Desmond Antonio Brown JR.
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1001 W. 10th Street #3101
Indianapolis
, Indiana 46202-2859
(317) 274-2603
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Desmond Antonio Brown JR.
- 1121 W. Michigan Street Ds 307b
- Indianapolis, IN
- Zip : 46202-5186
- Fax : (317) 274-2603
- Phone : (317) 278-3632
Second Address
- Desmond Antonio Brown JR.
- 1001 W. 10th Street #3101
- Indianapolis, IN
- Zip : 46202-2859
- Fax : (317) 630-2424
- Phone : (317) 630-6297
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 12011641A | IN |
| N | 204E00000X | Oral & Maxillofacial Surgeon | DRP560 | FL |
National Provider Identifier
| NPI | 1457554412 |
|---|---|
| Provider Name | Desmond Antonio Brown JR. |
| First Address | Indianapolis, IN 46202-5186 |
| Second Address | Indianapolis, IN 46202-2859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2007 |
| Last Update Date | 09/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.