Dr. Marlon Antonio Brown
Dentist Dental Public Health
118 Gateway Ln Ste 300
Bethlehem
, Georgia 30620-1852
Dr. Marlon Antonio Brown
Dentist Dental Public Health
118 Gateway Ln Ste 300
Bethlehem
, Georgia 30620-1852
(775) 334-4361
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Marlon Antonio Brown
- 3400 Greenside Ct
- Dacula, GA
- Zip : 30019-4645
- Fax : (775) 334-4361
- Phone : (775) 527-3067
Second Address
- Dr. Marlon Antonio Brown
- 118 Gateway Ln Ste 300
- Bethlehem, GA
- Zip : 30620-1852
- Phone : (775) 527-3067
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Is Dr. Marlon Antonio Brown a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 011372 | GA |
| Y | 1223D0001X | Dental Public Health | DN011372 | GA |
National Provider Identifier
| NPI | 1275677932 |
|---|---|
| Provider Name | Dr. Marlon Antonio Brown |
| First Address | Dacula, GA 30019-4645 |
| Second Address | Bethlehem, GA 30620-1852 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2007 |
| Last Update Date | 19/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004716904 | (05) | NV |
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.