Edward Brown Specialty Partners of Mississippi Pllc

NPI #1194515965 in Gulfport, Mississippi

Provider Information

NPI Number
1194515965
Entity Type
Organization
Organization Name
Edward Brown Specialty Partners of Mississippi Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
May 7, 2025
Last Updated
May 20, 2025

Practice Location

Address
1119 42ND AVE STE A
ZIP Code
39501-2664
Phone
(877) 230-7841

Authorized Official

Name
KRYSTAL RICHARDSON
Title
DIRECTOR REVENUE CYCLE MANAGEMENT
Phone
(214) 934-7995

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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