NPI 1164559407
Mary Tison Brown, DMD
Practice location
- Address
- 261 Trace Colony Park Drive Suite a, Ridgeland, MS 39157-4827
- Phone
- (601) 982-7212
- Fax
- (601) 981-2362
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1164559407
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Feb 2007
- Record last updated
- 14 Aug 2024
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.