Organization
SMILES AHEAD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY DRYDEN HEAD D.D.S. (PRESIDENT / OWNER)
(601) 450-4320
Entity
Organization
Contact information
Practice address
7127 U S HIGHWAY 98, SUITE 10, HATTIESBURG, MS 39402-8452
(601) 450-4320
(601) 450-4323
Mailing address
7127 U S HIGHWAY 98, SUITE 10, HATTIESBURG, MS 39402-8452
(601) 450-4320
(601) 450-4323
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3423
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300830
—
MS
Enumeration date
01/15/2009
Last updated
12/20/2011
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