Krystel Braddy-Brown, D.D.S.

Dentist · Flowood, MS

Individual Active NPI

NPI number 1144528381

Practice location

105 Ridge Way Unit 3
Flowood, MS 39232-3303
Phone
(601) 566-1039

Open in Google Maps

NPI record

NPI
1144528381
Entity type
Individual (Type 1)
Enumeration date
March 12, 2011
Last updated
October 24, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 3716-13 MS
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

393 McCullough McLin Rd
Florence, MS 39073-7928

Other practice locations (1)

  • 28 Pass Rd, #300, Gulfport, MS 39507-3244 · (228) 863-4009

About Dr. Braddy-Brown

Krystel Braddy-Brown, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 105 Ridge Way Unit 3, Flowood, MS 39232-3303. The NPI number 1144528381 was assigned on March 12, 2011 and the record was last updated on October 24, 2018.

Dr. Braddy-Brown lists a license in the registry: #3716-13 (MS) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Krystel Braddy-Brown, D.D.S.?

The NPI number is 1144528381.

What is the phone number of Dr. Braddy-Brown?

The phone number listed for the practice location is (601) 566-1039.

Where is Dr. Braddy-Brown located?

105 Ridge Way Unit 3, Flowood, MS 39232-3303.

What is the taxonomy code for Dr. Braddy-Brown?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Flowood

All Dentist providers in Flowood, MS →