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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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