| Smile Mission Mississippi Llc | |
|
1836 Crane Ridge Dr Jackson MS 39216-4901 | |
| (786) 701-8246 | |
| Not Available |
| Full Name | Smile Mission Mississippi Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1836 Crane Ridge Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Dustin Pfundheller (MANAGER) |
| Authorized Official Contact | 7867018246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Mission Mississippi Llc 9900 Sw 168th St Ste 1 Miami FL 33157-4378 Ph: (786) 701-8246 | Smile Mission Mississippi Llc 1836 Crane Ridge Dr Jackson MS 39216-4901 Ph: (786) 701-8246 |
| NPI Number | 1952294837 |
|---|---|
| Provider Enumeration Date | 05/30/2025 |
| Last Update Date | 05/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952294837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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