| Southern Smile Studio | |
|
6155 Hwy 25 Suite 1a Brandon MS 39047 | |
| (769) 241-2141 | |
| Not Available |
| Full Name | Southern Smile Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6155 Hwy 25, Brandon, Mississippi |
| Authorized Official Name and Position | Kellie Mcadams Watts (DENTIST/OWNER) |
| Authorized Official Contact | 6015948607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smile Studio 121 Anchor Lane Brandon MS 39047 Ph: (601) 594-8607 | Southern Smile Studio 6155 Hwy 25 Suite 1a Brandon MS 39047 Ph: (769) 241-2141 |
| NPI Number | 1992527287 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992527287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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