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UNTRAY T BROWN DDS PLLC NPI 1154592004


NPI Information

NPI: 1154592004
Provider Name: UNTRAY T BROWN DDS PLLC

Doing Business As: FORT GREENE PEDIATRIC DENTAL

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
55 GREENE AVENUE
SUITE C
BROOKLYN, NY
ZIP 11238
Phone: (718) 230-7676
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UNTRAY T BROWN DDS PLLC is a pediatric dentistry dentist in Brooklyn, NY. The provider is 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. UNTRAY T BROWN DDS PLLC NPI is 1154592004. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fort Greene Pediatric Dental.

The provider's business location address is:

55 GREENE AVENUE
SUITE C
BROOKLYN, NY
ZIP 11238
Phone: (718) 230-7676
Fax: (718) 230-7776

The provider's authorized official is Untray Tyrone Brown .
The authorized official title is Pediatric Dentist and has the following contact phone number (718) 230-7676.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry046243NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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