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
4105 HOSPITAL ST, PASCAGOULA, MS 39581-5312
(228) 762-1889
Mailing address
4105 HOSPITAL ST, PASCAGOULA, MS 39581-5312
(228) 762-1889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
357110
MS
Other
Enumeration date
05/01/2013
Last updated
08/20/2025
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