South Mississippi Smiles Dentistry Llc | |
9350 Highway 49 Gulfport MS 39503-4213 | |
(520) 722-1182 | |
(520) 798-2418 |
Full Name | South Mississippi Smiles Dentistry Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 9350 Highway 49, Gulfport, Mississippi |
Authorized Official Name and Position | Jason Leach (OWNER/DENTIST) |
Authorized Official Contact | 5207221182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Mississippi Smiles Dentistry Llc 9350 Highway 49 Gulfport MS 39503-4213 Ph: (520) 722-1182 | South Mississippi Smiles Dentistry Llc 9350 Highway 49 Gulfport MS 39503-4213 Ph: (520) 722-1182 |
NPI Number | 1174964530 |
---|---|
Provider Enumeration Date | 07/15/2013 |
Last Update Date | 07/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174964530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 357110 (Mississippi) | Primary |
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