Provider Demographics
NPI:1871535872
Name:BROWN, TOWNSEND JR (DDS)
Entity type:Individual
Prefix:DR
First Name:TOWNSEND
Middle Name:
Last Name:BROWN
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 1:1300 KEMPSVILLE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6199
Mailing Address - Country:US
Mailing Address - Phone:757-467-7797
Mailing Address - Fax:757-474-1493
Practice Address - Street 1:1300 KEMPSVILLE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-6199
Practice Address - Country:US
Practice Address - Phone:757-467-7797
Practice Address - Fax:757-474-1493
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA52571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry