Brown, Mary Tison
Brown, Mary Tison is an sole proprietor health care provider with primary practice located at 2525 Lakeward Dr Ste 102 , Jackson MS 39216-4827. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Brown, Mary Tison can be contacted via phone (601) 982-7212.Contact Information
Primary practice address
2525 Lakeward Dr Ste 102
Jackson MS 39216-4827
Phone: (601) 982-7212
Fax: (601) 981-2362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3183-01 | Mississippi |
Profile Details
| NPI number | 1164559407 |
|---|---|
| LBN Legal business name | Brown, Mary Tison |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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