DR. CHARLES ROBERT BROWN (NPI# 1073613600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073613600 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT BROWN |
| Credential | D.M.D. |
| Practice Address |
912 S Ridgewood Ave Suite B Daytona Beach FL 32114-5349 |
| Mailing Address |
6211 Santa Monica Dr Port Orange FL 32127-5964 |
| Practice Telephone | 3862586132 |
| Practice Fax Number | 3862390730 |
| Mailing Telephone | 3867615546 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5643 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DENTAL LICENSE NUMBER | 5643 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306144795 | Charles Steven Brown | Pharmacist | 1442 E Lamar St, Americus, GA 31709-3845 | 2011-03-08 |
| 1619294527 | Charles R. Brown IIi | Internal Medicine | 8620 Kilbourn Dr, La Jolla, CA 92037-2231 | 2010-05-01 |
| 1487803003 | Charles Richard Brown | Physician Assistant | 900 Caton Ave # 230, Baltimore, MD 21229-5201 | 2008-09-18 |
| 1700072956 | Charles Brown | Pharmacist | 546 Northdale Dr, Columbus, MS 39705-1686 | 2007-09-21 |
| 1699968610 | Charles Brown | Counselor | 7403 Rockfish Rd, Fayetteville, NC 28306-7270 | 2007-08-22 |
| 1306041991 | Charles H. Brown Jr. | Psychologist | 1332 Harding Pl, Charlotte, NC 28204-2922 | 2007-06-15 |
| 1952526063 | Charles E Brown IIi | Dentist | 2755 Matlock Road, Arlington, TX 76015 | 2007-04-16 |
| 1255479804 | Charles Brown Jr. | Nurse Practitioner | 3636 Georgia Ave Nw, Washington, DC 20010-1646 | 2007-02-02 |
| 1245390186 | Charles Brown | Dentist | 9682 Us Highway 19, Port Richey, FL 34668-4642 | 2006-12-11 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| Street Address |
912 S RIDGEWOOD AVE SUITE B |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386658284 | East Coast Endodontics | Clinic/Center | 912 S Ridgewood Ave, Suite C, Daytona Beach, FL 32114-5349 | 2006-07-28 |
| 1346679610 | Coastal Spine and Sport of Daytona Beach | Clinic/Center | 912 S Ridgewood Ave, Ste. D, Daytona Beach, FL 32114-5349 | 2013-11-06 |
| 1770597411 | Roderick M Macintyre IIi | Dentist | 912 S Ridgewood Ave, Suite C, Daytona Beach, FL 32114-5349 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063649580 | Falastin R. Abu-samn | Dentist | 2570 S Atlantic Ave, Daytona Beach, FL 32118-5523 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on DR. CHARLES ROBERT BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.