# MISSISSIPPI STATE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S B H - Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750540472
- **Authorized official:** SHARON SMILEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (601) 576-7542

## Contact information

- **Practice address:** 570 E WOODROW WILSON AVE, JACKSON, MS 39216-4538
- **Practice address phone:** (601) 576-7500
- **Mailing address:** PO BOX 1700, JACKSON, MS 39215-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008