Provider Demographics
NPI:1154721173
Name:ERIC S. BROWNING DMD, MS PSC
Entity type:Organization
Organization Name:ERIC S. BROWNING DMD, MS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:765-289-4867
Mailing Address - Street 1:610 S TILLOTSON AVE
Mailing Address - Street 2:STE 125
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-4430
Mailing Address - Country:US
Mailing Address - Phone:765-289-4867
Mailing Address - Fax:765-289-5751
Practice Address - Street 1:610 S TILLOTSON AVE
Practice Address - Street 2:STE 125
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4430
Practice Address - Country:US
Practice Address - Phone:765-289-4867
Practice Address - Fax:765-289-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011548261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental