| Mississippi Smiles Dentistry Llc | |
|
2189 Henry Hill Dr Suite A Jackson MS 39204-2125 | |
| (520) 722-1182 | |
| (520) 798-2418 |
| Full Name | Mississippi Smiles Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2189 Henry Hill Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Jason Leach (OWNER/DENTIST) |
| Authorized Official Contact | 5207221182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Smiles Dentistry Llc 2189 Henry Hill Dr Suite A Jackson MS 39204-2125 Ph: (520) 722-1182 | Mississippi Smiles Dentistry Llc 2189 Henry Hill Dr Suite A Jackson MS 39204-2125 Ph: (520) 722-1182 |
| NPI Number | 1952710154 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952710154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 357110 (Mississippi) | Primary |
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