Provider Demographics
NPI:1447353404
Name:BROWNING, ANTHONY SCOTT (DMD)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SCOTT
Last Name:BROWNING
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 100
Mailing Address - Street 2:
Mailing Address - City:VICCO
Mailing Address - State:KY
Mailing Address - Zip Code:41773
Mailing Address - Country:US
Mailing Address - Phone:606-476-8121
Mailing Address - Fax:606-476-9541
Practice Address - Street 1:35 LONGFIELD CIRCLE
Practice Address - Street 2:
Practice Address - City:VICCO
Practice Address - State:KY
Practice Address - Zip Code:41773
Practice Address - Country:US
Practice Address - Phone:606-476-8121
Practice Address - Fax:606-476-9541
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6673122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60066735Medicaid