Individual
DR. EUGENE C. BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, M.S., P.A.
Contact information
Practice address
5800 RIDGEWOOD RD, SUITE 103, JACKSON, MS 39211-2667
(160) 195-7171
(601) 956-8774
Mailing address
5800 RIDGEWOOD RD, SUITE 103, JACKSON, MS 39211-2667
(160) 195-7171
(601) 956-8774
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1777-77
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660282
—
MS
Enumeration date
11/10/2006
Last updated
07/08/2007
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