Individual
MELANIE PAIGE-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 ELLIS AVE, JACKSON, MS 39209-6256
(601) 354-3557
Mailing address
989 ELLIS AVE, JACKSON, MS 39209
(601) 354-3557
(601) 354-7191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2743
MS
1223G0001X
General Practice Dentistry
Primary
2743-93
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660236
—
MS
Enumeration date
06/08/2006
Last updated
07/21/2022
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