Provider Demographics
NPI:1366566960
Name:BROWNING, DONOVAN SONNY (DDS)
Entity type:Individual
Prefix:DR
First Name:DONOVAN
Middle Name:SONNY
Last Name:BROWNING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4954 BOULDER HWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3016
Mailing Address - Country:US
Mailing Address - Phone:702-847-6273
Mailing Address - Fax:
Practice Address - Street 1:4954 BOULDER HWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3016
Practice Address - Country:US
Practice Address - Phone:702-847-6273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7368122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist