NPI 1215432463

Laurel Orthodontic Associates LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Laurel, MS

Practice location

Address: 3228 Old Bay Springs Rd, Laurel, MS 39440-1453
Phone: (601) 215-2021

Authorised official

Name: Edward Brown
Title: Owner
Phone: (985) 400-2460

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 3502 (MS)

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Registry record

NPI: 1215432463
Entity type: Organization
NPI issued: 29 Mar 2018
Record last updated: 29 Mar 2018

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.