| 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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