| NPI | 1609379346 |
|---|---|
| Doing Business As | JIMMY BROWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | GARY ALLAN NICHOLS CEO 870-942-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2025-05-28 |