MEDICARE: DR. EUGENE C. BROWN JR. DDS, M.S., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	1777-77	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780755165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE C. BROWN JR. DDS, M.S., P.A.

Provider Business Mailing Address
First Line	:	5800 RIDGEWOOD RD
Second Line	:	SUITE 103
City	:	JACKSON
State	:	MS
Zip	:	39211-2667
Country	:	US
Telephone Number	:	160-195-7171
Fax Number	:	601-956-8774

Provider Business Practice Location Address
First Line	:	5800 RIDGEWOOD RD
Second Line	:	SUITE 103
City	:	JACKSON
State	:	MS
Zip	:	39211-2667
Country	:	US
Telephone Number	:	160-195-7171
Fax Number	:	601-956-8774

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1275536252 — DR. DANIEL QUON D.M.D.
Practice Location Address:

5800 RIDGEWOOD RD , STE 102
JACKSON, MS
39211-2667

Practice Phone: 601-957-1207
Practice Fax: 601-957-0602

1568577039 — DR. DANIEL BOBBY STORY II
Practice Location Address:

5800 RIDGEWOOD RD , SUITE 101
JACKSON, MS
39211-2667

Practice Phone: 601-956-9850
Practice Fax: 601-956-9852

1811009145 — DR. JOHN PHILIP BUCHANAN D.M.D.
Practice Location Address:

5800 RIDGEWOOD RD , SUITE 101
JACKSON, MS
39211-2667

Practice Phone: 601-956-9850
Practice Fax: 601-956-9852

1336251669 — JOHN P. BUCHANAN, DMD, PA
Practice Location Address:

5800 RIDGEWOOD RD , SUITE 101
JACKSON, MS
39211-2667

Practice Phone: 601-956-9850
Practice Fax: 601-956-9852

1811150766 — DR. DEIDRA JANIECE SNELL D.M.D.
Practice Location Address:

5800 RIDGEWOOD RD , SUITE 105
JACKSON, MS
39211-2667

Practice Phone: 601-398-2934
Practice Fax: 769-216-3311

1710391545 — TERRANCE WARE DDS, PLLC
Practice Location Address:

5800 RIDGEWOOD RD , SUITE 104
JACKSON, MS
39211-2667

Practice Phone: 601-892-1904
Practice Fax: 601-647-1333

Directions to “ DR. EUGENE C. BROWN JR. DDS, M.S., P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.