Provider Demographics
NPI:1194410787
Name:BROWN, ELINOR (DMD)
Entity type:Individual
Prefix:DR
First Name:ELINOR
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32895 COASTAL HWY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:BETHANY BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19930-3783
Mailing Address - Country:US
Mailing Address - Phone:302-537-1200
Mailing Address - Fax:
Practice Address - Street 1:32895 COASTAL HWY UNIT 102
Practice Address - Street 2:
Practice Address - City:BETHANY BEACH
Practice Address - State:DE
Practice Address - Zip Code:19930-3783
Practice Address - Country:US
Practice Address - Phone:302-537-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00115921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice