Delta Orthodontic Specialists LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DELTA ORTHODONTIC SPECIALISTS LLC

Practice address

2356 Grove Street
Vicksburg, MS 39183-2857

Phone

(601) 638-8230

Fax

(601) 636-3388

NPI assigned

Jan 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edward V Brown III, DDSNPI 1326489345

Title

Owner/Dentist

Phone

(601) 636-3388

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Victor Brown III, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pascagoula, MS
  • NPI 1326489345
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1174275762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 GROVE STREET",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832857",
            "telephone_number": "601-638-8230",
            "fax_number": "601-636-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 GROVE STREET",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832857",
            "telephone_number": "601-638-8230",
            "fax_number": "601-636-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA ORTHODONTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-636-3388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Allan Dearman, NURSE PRACTITIONER
• Jennifer Decker
• Megann Price Dees, PA-C
• Jessica Delk
• Delta Foot Clinics, Inc (The Foot Clinic)
• Delta Orthodontic Specialists, LLC
• Denesia Y Giffin PLLC
• Rhonda C Denman, LMFT
• Georgia Dent, HAIR LOSS SPECIALIST
• Dental Professionals of Mississippi, P.C. (MY Vicksburg Dentist)

• Orthodontics and Dentofacial Orthopedics Dentistry in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.