Organization
SMILE STRAIGHT ORTHODONTICS - JACKSON LLC
Active
Other names
Smile Straight Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEIGH ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization
Contact information
Practice address
310 W WOODROW WILSON AVE STE 400, JACKSON, MS 39213-7697
(769) 230-1940
Mailing address
310 W WOODROW WILSON AVE STE 400, JACKSON, MS 39213-7697
(601) 368-6635
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
12/29/2025
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