Provider Demographics
NPI:1720149966
Name:BROWN, CUYLER RAY (DMD)
Entity type:Individual
Prefix:DR
First Name:CUYLER
Middle Name:RAY
Last Name:BROWN
Suffix:
Gender:M
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:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29721-0070
Mailing Address - Country:US
Mailing Address - Phone:803-285-6925
Mailing Address - Fax:803-285-6770
Practice Address - Street 1:1241 COLONIAL COMMONS CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2210
Practice Address - Country:US
Practice Address - Phone:803-285-6925
Practice Address - Fax:803-285-6770
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3894122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist