Organization
MISSISSIPPI SMILES DENTISTRY LLC
Active
Other names
Mississippi Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA 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
(601) 292-6311
Mailing address
310 W WOODROW WILSON AVE STE 400, JACKSON, MS 39213-7697
(769) 230-1940
(601) 292-6311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
357110
MS
Other
Enumeration date
11/15/2016
Last updated
09/23/2025
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