| Derek John Brown Dmd, Ms, Pa | |
|
1133 N Walton Blvd Ste A Bentonville AR 72712-4164 | |
| (479) 273-2626 | |
| (479) 273-5959 |
| Full Name | Derek John Brown Dmd, Ms, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1133 N Walton Blvd Ste A, Bentonville, Arkansas |
| Authorized Official Name and Position | Derek John Brown (PRESIDENT) |
| Authorized Official Contact | 4792732626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek John Brown Dmd, Ms, Pa 1133 N Walton Blvd Ste A Bentonville AR 72712-4164 Ph: (479) 273-2626 | Derek John Brown Dmd, Ms, Pa 1133 N Walton Blvd Ste A Bentonville AR 72712-4164 Ph: (479) 273-2626 |
| NPI Number | 1457502791 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457502791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3253 (Arkansas) | Primary |
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› Verified 8 days ago
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