SOUTHERN SMILE STUDIO NPI 1992527287

NPI Information

  • NPI: 1992527287
  • Provider Name: SOUTHERN SMILE STUDIO
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 6155 HWY 25
    SUITE 1A
    BRANDON, MS
    ZIP 39047
  • Phone: (769) 241-2141

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NPI Details

SOUTHERN SMILE STUDIO is a dental clinic center in Brandon, MS. SOUTHERN SMILE STUDIO NPI is 1992527287. The provider is registered as an organization entity type.

The provider's business location address is:

6155 HWY 25
SUITE 1A
BRANDON, MS
ZIP 39047
Phone: (769) 241-2141

The provider's authorized official is Kellie Mcadams Watts .
The authorized official title is Dentist/owner and has the following contact phone number (601) 594-8607.

The enumeration date for this NPI number is 10/28/2024 and was last updated on 10/31/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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