HAPPY SMILES DENTISTRY - TUPELO LLC (NPI# 1336418540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336418540 |
| Entity Type | Organization |
| Organization Name | HAPPY SMILES DENTISTRY - TUPELO LLC |
| Practice Address |
101 N Industrial Rd Ste H Tupelo MS 38801-3441 |
| Practice Telephone | 6626803383 |
| Practice Fax Number | 6626804745 |
| Mailing Telephone | 6626803383 |
| Mailing Fax Number | 6626804745 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | JASON LEACH (DENTIST) |
| Authorized Official Telephone | 6626803383 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
357110 | MS | Dental Providers |
| Street Address |
101 N INDUSTRIAL RD STE H |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881034890 | Daniel Travis Johnston | Dentist | 101 N Industrial Rd, Suite A., Tupelo, MS 38801-3441 | 2013-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255822169 | Daniel Kirk Knighton | Dentist | 101 N Industrial Rd Ste A, Tupelo, MS 38801-3441 | 2018-05-25 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1386097343 | Latoya Legrand | Dentist | 401 S Gloster St Ste 101, Tupelo, MS 38801-5541 | 2016-07-14 |
| 1720389984 | John Paul Bryson | Dentist | 1203 N Gloster St, Suite M, Tupelo, MS 38804-1222 | 2010-11-04 |
| 1467661983 | Ed Holliday, D.m.d., Inc. | Dentist | 901 Garfield St, Tupelo, MS 38801-5737 | 2007-05-21 |
| 1427264241 | John T Lamberth | Dentist | 1763 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2007-05-16 |
| 1073727772 | Joby Davis Collins | Dentist | 704 Hillcrest Drive, Tupelo, MS 38804-1235 | 2007-05-10 |
| 1558488841 | Charles F Young | Dentist | 604 Brunson Dr, Tupelo, MS 38801-4947 | 2007-03-23 |
| 1134246630 | Tupelo Smiles Family and Cosmetic Dentistry | Dentist | 101 Park Gate Dr, Tupelo, MS 38801-3033 | 2007-03-22 |
| 1629151519 | Raymond Barry Thornton | Dentist | 2864 Traceland Dr, Tupelo, MS 38801-4200 | 2006-10-23 |
| Find all providers in TUPELO | ||||
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| 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.