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MISSISSIPPI SMILES DENTISTRY LLC NPI 1346782893


NPI Information

NPI: 1346782893
Provider Name: MISSISSIPPI SMILES DENTISTRY LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
310 W WOODROW WILSON AVE
400
JACKSON, MS
ZIP 39213
Phone: (769) 230-1940
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MISSISSIPPI SMILES DENTISTRY LLC is a general practice dentist in Jackson, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MISSISSIPPI SMILES DENTISTRY LLC NPI is 1346782893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 W WOODROW WILSON AVE
400
JACKSON, MS
ZIP 39213
Phone: (769) 230-1940
Fax: (601) 292-6311

The provider's authorized official is Jason Leach .
The authorized official title is Owner and has the following contact phone number (520) 227-0711.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice357110MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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