# EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841080611
- **Legal business name:** EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC
- **Authorized official:** MS. KRYSTAL RICHARDSON (DIRECTOR REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (214) 934-7995

## Contact information

- **Practice address:** 1119 42ND AVE, GULFPORT, MS 39501-2664
- **Practice address phone:** (877) 544-3492
- **Mailing address:** 820 W 42ND ST STE 2300, SCOTTSBLUFF, NE 69361-5016
- **Mailing address phone:** (877) 230-7841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2025
- **Last updated:** 05/07/2025