The Smile Center of Clarksdale

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

336906 Issued in MS

Legal business name

THE SMILE CENTER OF CLARKSDALE

Practice address

526 Choctaw Street
Suites B & C
Clarksdale, MS 38614

Phone

(662) 226-1865

NPI assigned

Nov 17, 2008

Last updated

Nov 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Mitchell Presley, R.D.H.

Title

Ceo

Phone

(662) 226-1865

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1063667129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1199",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021199",
            "telephone_number": "662-226-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CHOCTAW STREET",
            "address_2": "SUITES B & C",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "38614",
            "telephone_number": "662-226-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE CENTER OF CLARKSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-226-1865",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "336906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Thomas, PCMHT
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• Carleen Thompson
• Malendia Hite Thornton, RPH

• Dental Clinic/Center in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.