NPI 1144528381

Krystel Braddy-Brown, DDS

Practitioner Dentist Flowood, MS

Practice location

Address: 105 Ridge Way Unit 3, Flowood, MS 39232-3303
Phone: (601) 566-1039
Mailing address: 393 McCullough McLin Rd, Florence, MS 39073-7928

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3716-13 (MS)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1144528381
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2011
Record last updated: 24 Oct 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.