Provider Demographics
NPI:1982714036
Name:BROWN, H MARSHALL (DDS)
Entity type:Individual
Prefix:DR
First Name:H
Middle Name:MARSHALL
Last Name:BROWN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W MAIN ST
Mailing Address - Street 2:P.O. BOX 326
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-3321
Mailing Address - Country:US
Mailing Address - Phone:910-582-5707
Mailing Address - Fax:910-582-5737
Practice Address - Street 1:215 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-3321
Practice Address - Country:US
Practice Address - Phone:910-582-5707
Practice Address - Fax:910-582-5737
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC91131OtherBCBS