Organization
SMILE STRAIGHT ORTHODONTICS-CENTRAL MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization
Contact information
Practice address
1189 E COUNTY LINE RD STE 1010, JACKSON, MS 39211-1836
(601) 308-2022
(601) 326-2618
Mailing address
5717 E THOMAS RD STE 110, SCOTTSDALE, AZ 85251-7620
(623) 282-9959
(602) 429-8200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
08/22/2023
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