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SOUTH MISSISSIPPI SMILES DENTISTRY LLC NPI 1538504824


NPI Information

NPI: 1538504824
Provider Name: SOUTH MISSISSIPPI SMILES DENTISTRY LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4105 HOSPITAL ST
PASCAGOULA, MS
ZIP 39581
Phone: (520) 722-1182
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SOUTH MISSISSIPPI SMILES DENTISTRY LLC is a general practice dentist in Pascagoula, 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. SOUTH MISSISSIPPI SMILES DENTISTRY LLC NPI is 1538504824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4105 HOSPITAL ST
PASCAGOULA, MS
ZIP 39581-312
Phone: (520) 722-1182
Fax: (520) 798-2418

The provider's authorized official is Jason Leach .
The authorized official title is Owner/dentist and has the following contact phone number (520) 722-1182.

The enumeration date for this NPI number is 5/1/2013 and was last updated on 5/1/2013.


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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