NPI 1003702804
Edward Brown Specialty Partners of Mississippi, PLLC
Practice location
- Address
- 927 N 15th Ave, Laurel, MS 39440-3354
- Phone
- (601) 215-2021
- Mailing address
- 820 W 42nd St STE 2300, Scottsbluff, NE 69361-5016
Authorised official
- Name
- Krystal Richardson
- Title
- Director Revenue Cycle Management
- Phone
- (214) 934-7995
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1003702804
- Entity type
- Organization
- NPI issued
- 17 Jun 2025
- Record last updated
- 17 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.