SMILE STRAIGHT ORTHODONTICS-CENTRAL MS PLLC (NPI# 1205469111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205469111 |
| Entity Type | Organization |
| Organization Name | SMILE STRAIGHT ORTHODONTICS-CENTRAL MS PLLC |
| Practice Address |
1189 E County Line Rd Ste 1010 Jackson MS 39211-1836 |
| Mailing Address |
5717 E Thomas Rd Ste 110 Scottsdale AZ 85251-7620 |
| Practice Telephone | 6013082022 |
| Practice Fax Number | 6013262618 |
| Mailing Telephone | 6232829959 |
| Mailing Fax Number | 6024298200 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | TERESA ZWICKY (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6232829959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1790318608 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2020-02-19 |
| Street Address |
1189 E COUNTY LINE RD STE 1010 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730429 | Patrice Nicole Griffith | Dentist | 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1467771386 | Eric Richard Buchner | Dentist | 190 Murray Guard Dr, Jackson, TN 38305-3609 | 2010-05-18 |
| 1962653592 | David F Elliott | Dentist | 10 S New Prospect Rd, Suite 23, Jackson, NJ 08527-1645 | 2008-10-01 |
| 1194904094 | Bierdeman Othodontics Pa | Dentist | 2680 River Ridge Road, Jackson, MS 39216-5018 | 2007-10-26 |
| 1366631335 | Stephen E Owens Jr. | Dentist | 1130 S Hwy 89, Jackson, WY 83001 | 2007-10-16 |
| 1770771495 | Shannon Edward Owens | Dentist | 1130 South Hwy 89, Jackson, WY 83001-0628 | 2007-10-09 |
| 1407040686 | James Ray Hight Jr. | Dentist | 101 Max Lane Drive, Jackson, TN 38305 | 2007-08-30 |
| 1821293820 | Kevin J Robinson | Dentist | 77 Northfork Cv, Jackson, TN 38305-7903 | 2007-06-19 |
| 1295937498 | Dr. Louis B. Guy, Jr.,dds, Mspa | Dentist | 247 Highland Village, Jackson, MS 39211 | 2007-06-01 |
| 1134349160 | Lloyd B. Wolfe Jr. | Dentist | 406 Briarwood Dr Ste 102, Jackson, MS 39206-3059 | 2007-05-01 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on SMILE STRAIGHT ORTHODONTICS-CENTRAL MS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.