| Ismile Family Dentistry | |
|
1305 Church Rd E Southaven MS 38671-9711 | |
| (662) 349-1141 | |
| (662) 349-6227 |
| Full Name | Ismile Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1305 Church Rd E, Southaven, Mississippi |
| Authorized Official Name and Position | Lashunda Thompson Roberts (PRESIDENT) |
| Authorized Official Contact | 6016221073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Family Dentistry Po Box 1168 Southaven MS 38671-0012 Ph: (662) 349-1141 | Ismile Family Dentistry 1305 Church Rd E Southaven MS 38671-9711 Ph: (662) 349-1141 |
| NPI Number | 1295402519 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295402519 | NPI | - | NPPES |
| 09709245 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Main Street Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8747 Northwest Dr, Southaven, MS 38671 Phone: 662-393-0781 Fax: 662-342-0750 | |
Keep On Smiling Pediatric And General Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 122, Southaven, MS 38672 Phone: 662-892-8535 Fax: 662-420-7317 | |
Abide Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5740 Getwell Rd, Bldg. 3a, Southaven, MS 38672 Phone: 662-470-5811 Fax: 662-470-5817 | |
Roberts & Garza Orthodontics Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 946 Goodman Rd E, Southaven, MS 38671 Phone: 662-996-2816 Fax: 662-985-6122 | |
American Family Dentistry Of Memphis, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Goodman Rd W Ste F, Southaven, MS 38671 Phone: 662-253-3013 Fax: 662-253-3021 | |
De Soto Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Goodman Road East, Suite A, Southaven, MS 38671 Phone: 662-349-2351 Fax: 662-349-2416 |