Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114013604 Individual Practitioner Male Practitioner

Dr. Theodore A Brown , DDS

Dentist - General Practice • Mohall, ND

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Brown, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mohall, ND. Practice services are available at 106 3RD AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

106 3rd Ave Se

Mohall, ND 58761

Telephone 7017566655

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mohall, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Mohall, ND (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ND 1760

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41000 (ND)
Commercial Insurance / Payer ID Dental Service Corporatio
901760 (ND)
Commercial Insurance / Payer ID United Concordia
879031 (ND)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 106 3RD AVE SE, MOHALL, ND 58761 (Tel: 7017566655)

📍
Updated Business Mailing Address July 09, 2007

Registered at P.O. BOX 188, MOHALL, ND 587610188 (Tel: 7017566655)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as THEODORE BROWN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #1760 in ND)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114013604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

P.o. Box 188

Mohall, ND 587610188

Phone: 7017566655

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.