Provider Demographics
NPI:1316055718
Name:BROWN, MICHAEL RORY (DDS MS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:RORY
Last Name:BROWN
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:1240 E 100 S
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790
Mailing Address - Country:US
Mailing Address - Phone:435-634-9933
Mailing Address - Fax:435-634-9930
Practice Address - Street 1:1240 E 100 S
Practice Address - Street 2:SUITE 120
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-634-9933
Practice Address - Fax:435-634-9930
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
UT14538599231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry