Mary-Ouida Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8351 Issued in TN

Practice address

505 Cowan Rd
Gulfport, MS 39507-2024

Phone

(901) 414-8183

NPI assigned

Oct 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles E. Young, Jr, DDS

  dba Collierville Dental Associates

  • General Practice Dentistry
  • Collierville, TN
  • NPI 1285703884
  NPD (past)

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1134455496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 THORNBUCK CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178217",
            "telephone_number": "901-414-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072024",
            "telephone_number": "901-414-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY-OUIDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Smith, PCCSS
• Kelly A Smith, IDC
• Lisa Mabry Smith, MD
• Maggie Elizabeth Smith, DPT
• Mandi Elkins Smith, O.D.
• Shelly Smith, RBT
• Tyangala Bracey Smith
• Victoria Roberts Smith
• Anne Hancock Smits, PA-C
• Christine Annette Smothers, L.P.C.

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.