Provider Demographics
NPI:1104594951
Name:BROWN, CARY MORRIS (DMD)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:MORRIS
Last Name:BROWN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8226 DOUGLAS AVE STE 645
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5928
Mailing Address - Country:US
Mailing Address - Phone:214-369-6340
Mailing Address - Fax:
Practice Address - Street 1:8226 DOUGLAS AVE STE 645
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5928
Practice Address - Country:US
Practice Address - Phone:214-369-6340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-04
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37533OtherTEXAS DENTAL LICENSE NUMBER