Provider Demographics
NPI:1063914034
Name:BROWN, MEAGAN ALANNA (DDS)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:ALANNA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 34TH ST APT 12G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4925
Mailing Address - Country:US
Mailing Address - Phone:917-242-9842
Mailing Address - Fax:
Practice Address - Street 1:340 E 34TH ST APT 12G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4925
Practice Address - Country:US
Practice Address - Phone:917-242-9842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program