Provider Demographics
NPI:1487880753
Name:MILLERBROWN, CARLA D (DMD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:D
Last Name:MILLERBROWN
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 1:56 EDWARDS VILLAGE BLVD
Mailing Address - Street 2:SUITE 124 PMB3000-242
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632
Mailing Address - Country:US
Mailing Address - Phone:330-936-3816
Mailing Address - Fax:
Practice Address - Street 1:30 BENCHMARK RD STE 103
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5917
Practice Address - Country:US
Practice Address - Phone:970-688-5372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-022830122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist