SMILE DESIGNERS LLC


Address: 1709 W 20th St, Laurel, MS 39440-1802
Phone: 6016494854

SMILE DESIGNERS LLC (NPI# 1578900718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578900718
Entity Type Organization
Organization Name SMILE DESIGNERS LLC
Practice Address 1709 W 20th St
Laurel
MS 39440-1802
Practice Telephone 6016494854
Practice Fax Number 6016516439
Mailing Telephone 6016494854
Enumeration Date 2013-05-29
Last Update Date 2013-05-29
Authorized Official Name DR. KEISHA DENYEL QUINN (PRESUDENT)
Authorized Official Telephone 6016494854
Authorized Official Credential D.D.S.
Is Organization Subpart Y
Parent Organization Name SMILE DESIGNERS LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 256990 MS Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00060078 05
MS 02303099 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255628608 Smile Designers LLC Dentist 7234 Rising Sun Ave, Philadelphia, PA 19111-3948 2011-07-06

Office Location

Street Address 1709 W 20TH ST
City LAUREL
State MS
Zip Code 39440-1802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205480373 Cibele Lima Raimondo, Dds, LLC Dentist 649 Main St # A, Laurel, MD 20707-4066 2019-07-28
1629561758 Fernando M Archuleta Dentist 535 Main St Ste 113, Laurel, MD 20707-4335 2018-06-13
1134640683 Dorothy Stancill Dentist 1434 Parker Dr, Laurel, MS 39440-1942 2017-07-05
1124479647 Ghata D Patel Dentist 9072 Manorwood Rd, Laurel, MD 20723 2016-06-27
1750757597 Fusion Dental Dentist 14722 Baltimore Ave, Suite 103, Laurel, MD 20707-4872 2015-08-17
1861832834 Cody Warner Winterholler Dentist 413 Se 4th St, Winterholler Dentistry, Laurel, MT 59044-3317 2013-07-04
1164770442 Amy Sellers Morgan Dentist 1925 Pine Belt Dr, Laurel, MS 39440-1348 2012-08-17
1871883595 Hina Rani Goyal Dentist 8312 Sweet Cherry Ln, Laurel, MD 20723-1060 2011-04-14
1457665036 Gregory O. Catchings Dentist 15505 Clayburn Dr, Laurel, MD 20707-5415 2010-08-05
1467677393 Delband Vazirnezami Dentist 13940 Baltimore Ave, Laurel, MD 20707-5000 2007-04-16
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Competitor

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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