Provider Demographics
NPI:1215244926
Name:BROWNER, EMILY JO (DMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:JO
Last Name:BROWNER
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 1:4280 S HUALAPAI WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8397
Mailing Address - Country:US
Mailing Address - Phone:702-640-0004
Mailing Address - Fax:702-549-5415
Practice Address - Street 1:4280 S HUALAPAI WAY STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8397
Practice Address - Country:US
Practice Address - Phone:702-640-0004
Practice Address - Fax:702-549-5415
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25770122300000X
NV60851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist