| Edward Brown Specialty Partners Of Mississippi, Pllc | |
|
120 S 28th Ave Hattiesburg MS 39401-7151 | |
| (601) 268-1111 | |
| Not Available |
| Full Name | Edward Brown Specialty Partners Of Mississippi, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 120 S 28th Ave, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Krystal Richardson (DIRECTOR REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 2149347995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Brown Specialty Partners Of Mississippi, Pllc 820 W 42nd St Ste 2300 Scottsbluff NE 69361-5016 Ph: (720) 544-3492 | Edward Brown Specialty Partners Of Mississippi, Pllc 120 S 28th Ave Hattiesburg MS 39401-7151 Ph: (601) 268-1111 |
| NPI Number | 1144116948 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144116948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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