Dr. Roosevelt Brown , DDS
Dentist - General Practice • Pine Bluff, AR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roosevelt Brown has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roosevelt Brown, DDS was a registered Dentist - General Practice practicing in Pine Bluff, AR. Throughout an active medical career spanning 13 years, Dr. Brown provided care at the practice location at 1101 TENNESSEE ST until profile deactivation on 2020-05-08.
Practice Location & Contact Primary Location
1101 Tennessee St
Pine Bluff, AR 71601
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Pine Bluff, AR
Practicing in Pine Bluff, AR (909 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Adult Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 08, 2020
NPI status registered as active in NPPES database
Registered at 1101 TENNESSEE ST, PINE BLUFF, AR 71601 (Tel: 8705432341)
Registered at P.O. BOX 1285, PINE BLUFF, AR 716131285 (Tel: 8705432341)
Recorded as ROOSEVELT BROWN, D.D.S.
Dentist (License #1924 in AR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
P.o. Box 1285
Pine Bluff, AR 716131285
Phone: 8705432341
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