| Smile Country Orthodontics | |
|
15465 Oak Ln Gulfport MS 39503-2663 | |
| (228) 832-4450 | |
| Not Available |
| Full Name | Smile Country Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15465 Oak Ln, Gulfport, Mississippi |
| Authorized Official Name and Position | Kimberly Chelette (INSURANCE COORDINATOR) |
| Authorized Official Contact | 9858931044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Country Orthodontics 15465 Oak Ln Ste 100h Gulfport MS 39503-2663 Ph: () - | Smile Country Orthodontics 15465 Oak Ln Gulfport MS 39503-2663 Ph: (228) 832-4450 |
| NPI Number | 1356862445 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 06/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356862445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3502-09 (Mississippi) | Primary |
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