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Organization

SOUTH MISSISSIPPI SMILES DENTISTRY LLC

Active
Other names
South Mississippi Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization

Contact information

Practice address
9350 HIGHWAY 49, GULFPORT, MS 39503-4213
(520) 722-1182
(520) 798-2418
Mailing address
9354 HIGHWAY 49 STE L, GULFPORT, MS 39503-4226
(228) 206-1234
(228) 206-2362

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
357110
MS

Other

Enumeration date
07/15/2013
Last updated
11/18/2025
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