Provider Demographics
NPI:1558484600
Name:BROWNING, LARRY REXEL JR (DDS)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:REXEL
Last Name:BROWNING
Suffix:JR
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 1:663 OAKLAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-1518
Mailing Address - Country:US
Mailing Address - Phone:870-572-6575
Mailing Address - Fax:870-572-6265
Practice Address - Street 1:663 OAKLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-1518
Practice Address - Country:US
Practice Address - Phone:870-572-6575
Practice Address - Fax:870-572-6265
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice