Dr. Clifford A. Brown , DDS
Dentist - General Practice • Peoria, IL
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. Clifford Brown has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Clifford Brown, DDS was a registered Dentist - General Practice practicing in Peoria, IL. Throughout an active medical career spanning 15 years, Dr. Brown provided care at the practice location at 214 W WOLF RD until profile deactivation on 2022-07-26.
Practice Location & Contact Primary Location
214 W Wolf Rd
Peoria, IL 616142156
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Peoria, IL
Practicing in Peoria, IL (5581 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 26, 2022
NPI status registered as active in NPPES database
Registered at 214 W WOLF RD, PEORIA, IL 616142156 (Tel: 3096926435)
Registered at 214 W WOLF RD, PEORIA, IL 616142156 (Tel: 3096926435)
Recorded as CLIFFORD BROWN, D.D.S.
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
214 W Wolf Rd
Peoria, IL 616142156
Phone: 3096926435
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