Smile Straight Orthodontics - Jackson Llc | |
310 W Woodrow Wilson Ave Ste 400 Jackson MS 39213-7697 | |
(769) 230-1940 | |
Not Available |
Full Name | Smile Straight Orthodontics - Jackson Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 310 W Woodrow Wilson Ave Ste 400, Jackson, Mississippi |
Authorized Official Name and Position | Teresa Leigh Zwicky (CREDENTIALING MANAGER) |
Authorized Official Contact | 4808668811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Straight Orthodontics - Jackson Llc 5717 E Thomas Rd Ste 100 Scottsdale AZ 85251-7620 Ph: (480) 866-8811 | Smile Straight Orthodontics - Jackson Llc 310 W Woodrow Wilson Ave Ste 400 Jackson MS 39213-7697 Ph: (769) 230-1940 |
NPI Number | 1225709074 |
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Provider Enumeration Date | 09/22/2021 |
Last Update Date | 09/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225709074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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