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
2189 HENRY HILL DR STE A, JACKSON, MS 39204-2002
(520) 722-1182
(520) 798-2418
Mailing address
1189 E COUNTY LINE RD STE 1010, JACKSON, MS 39211-1836
(601) 308-2022
(601) 326-2618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
357110
MS
Other
Enumeration date
08/13/2014
Last updated
09/23/2025
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