SMILE STRAIGHT ORTHODONTICS-CENTRAL MS PLLC (NPI# 1386277291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386277291 |
| Entity Type | Organization |
| Organization Name | SMILE STRAIGHT ORTHODONTICS-CENTRAL MS PLLC |
| Practice Address |
310 W Woodrow Wilson Ave Ste 400 Jackson MS 39213-7697 |
| Mailing Address |
5717 E Thomas Rd Ste 110 Scottsdale AZ 85251-7620 |
| Practice Telephone | 7692301940 |
| Practice Fax Number | 6012926311 |
| 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 |
|---|---|---|---|---|
| 1205469111 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 | 2020-02-19 |
| 1790318608 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2020-02-19 |
| Street Address |
310 W WOODROW WILSON AVE STE 400 |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-7697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1265650931 | Theodore C. Jones | Dentist | 4300 Robinson Rd, Suite B, Jackson, MS 39209 | 2007-04-20 |
| Find all providers in JACKSON | ||||
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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.