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Dr. Charles Robert Brown, DMD
Pediatric Dentist in Daytona Beach, Florida
NPI 1073613600

Charles Robert Brown is a Pediatric Dentist based in Port Orange, FL and is specialized in Pediatric Dentistry. Charles Robert Brown practices in Daytona Beach, FL and has the professional credentials of DMD. The NPI Number for Charles Robert Brown is 1073613600 and holds a License No. 5643 (Florida).

The current practice location address for Charles Robert Brown is 912 S Ridgewood Ave, Daytona Beach, FL and can be reached out via phone at 386-258-6132 and via fax at 386-239-0730.

Location: 912 S Ridgewood Ave, Daytona Beach, FL, 32127-5964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073613600
Provider Name
Charles Robert Brown
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
912 S Ridgewood Ave, Daytona Beach, FL, 32127-5964
Phone Number
386-258-6132
Fax Number
386-239-0730
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5643 01 FL DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
912 S Ridgewood Ave
City
Daytona Beach
State
Florida
Zip
32114-5349
Phone Number
386-258-6132
Fax Number
386-239-0730
person
Provider Business Mailing Address Details
Address
912 S Ridgewood Ave
City
Daytona Beach
State
Florida
Zip
32114-5349
Phone Number
386-258-6132
Fax Number
386-239-0730
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5643 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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