UNTRAY T BROWN DDS PLLC NPI 1154592004

NPI Information

  • NPI: 1154592004
  • Provider Name: UNTRAY T BROWN DDS PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: FORT GREENE PEDIATRIC DENTAL
  • Address: 55 GREENE AVENUE
    SUITE C
    BROOKLYN, NY
    ZIP 11238
  • Phone: (718) 230-7676

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry046243NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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