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Jelani Brown
Pediatric Dentist in Morrow, Georgia
NPI 1619560349

Jelani Brown is a Pediatric Dentist based in Providence, GA and is specialized in Pediatric Dentistry. Jelani Brown practices in Morrow, GA. The NPI Number for Jelani Brown is 1619560349 and holds a License No. (Georgia).

The current practice location address for Jelani Brown is 1833 Mount Zion Rd, Morrow, GA and can be reached out via phone at 917-753-0777.

Location: 1833 Mount Zion Rd, Morrow, GA, 02903-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619560349
Provider Name
Jelani Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
1833 Mount Zion Rd, Morrow, GA, 02903-4123
Phone Number
917-753-0777
Fax Number
Provider Enumeration Date
02/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
744531758-00 05 NY
institution
Provider Business Practice Location Address Details
Address
1833 Mount Zion Rd
City
Morrow
State
Georgia
Zip
30260-3015
Phone Number
917-753-0777
Fax Number
person
Provider Business Mailing Address Details
Address
1833 Mount Zion Rd
City
Morrow
State
Georgia
Zip
30260-3015
Phone Number
917-753-0777
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN122989 (Georgia)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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