Basic Information
Provider Information
NPI: 1033558358
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: EMILY
MiddleName: SUE
NamePrefix: DR.
NameSuffix:  
Credential: D.D.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3416 OLANDWOOD COURT, SUITE 205
Address2: SUITE 205
City: OLNEY
State: MD
PostalCode: 20832
CountryCode: US
TelephoneNumber: 3013296960
FaxNumber:  
Practice Location
Address1: 3416 OLANDWOOD COURT, SUITE 205
Address2: SUITE 205
City: OLNEY
State: MD
PostalCode: 20832
CountryCode: US
TelephoneNumber: 3013296960
FaxNumber: 3019778856
Other Information
ProviderEnumerationDate: 06/19/2013
LastUpdateDate: 06/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223G0001X13658MDY Dental ProvidersDentistGeneral Practice

No ID Information.


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