IndividualActive
Blase Brown, DDS
NPI 1386715563 · Dentist · Lyons, IL
Provider details
- NPI number
- 1386715563
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
4212 Joliet Ave
Lyons, IL 60534-1192
Phone: (708) 447-3200
Fax: (708) 447-0471
Approximate (ZIP-level) locationGet directions
Mailing address
4212 Joliet Ave
Lyons, IL 60534-1192
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.