Individual provider · NPI-1

Dr. Kirk Daniels Brown, D.D.S.

Dentist, Endodontics · Highland Village, TX

NPI number1063465748
StatusActive
Last updated in NPPESNov 7, 2015

Details

NPI
1063465748
Entity type
Individual (NPI-1)
Name
Dr. Kirk Daniels Brown
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2006
Last updated
Nov 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics25756TXYes
122300000X DentistDEN-8796CO
122300000X Dentist8595KY

Practice location

3000 Village Pkwy
Suite 420
Highland Village, TX 75077-3270

Phone 972-317-5300

Mailing address

792 Deer Path
Copper Canyon, TX 75077-4800

Phone 940-367-3148

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