| Southern Magnolia Smiles | |
|
6819 Washington Ave Ste C Ocean Springs MS 39564-2181 | |
| (228) 215-1202 | |
| (228) 447-4775 |
| Full Name | Southern Magnolia Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6819 Washington Ave Ste C, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Kari E Lewis (OFFICE MANAGER) |
| Authorized Official Contact | 2282151202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Magnolia Smiles 6819 Washington Ave Ste C Ocean Springs MS 39564-2181 Ph: (228) 215-1202 | Southern Magnolia Smiles 6819 Washington Ave Ste C Ocean Springs MS 39564-2181 Ph: (228) 215-1202 |
| NPI Number | 1598282162 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598282162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3600-11 (Mississippi) | Primary |
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