Dr. Jay Douglas Brown, DMD
Dentist in Saint Peters, MO. Individual provider (NPI-1).
NPI number1902826167
StatusActive
Last updated in NPPESMar 18, 2014
Details
- NPI
- 1902826167
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Douglas Brown
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2006
- Last updated
- Mar 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2010009884 | MO | Yes |
Practice location
6141 Mid Rivers Mall DrSaint Peters, MO 63304-1105
Phone 636-441-4600 · Fax 636-922-2094
Mailing address
6141 Mid Rivers Mall DrSaint Peters, MO 63304-1105
Phone 636-441-4600 · Fax 636-922-2094
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