Organization Active NPI

Smilecare PLLC

  • General Practice Dentistry
  • Forest, MS
National Provider Identifier
1134658602
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILECARE PLLC
Doing business as
Forest Metro Dental
Practice address
1237 Highway 35 S
Forest, MS 39074-8830
Phone
(601) 469-8266
Fax
(601) 469-8294
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gentri Leigh May
Title
Office Administrator
Phone
(601) 469-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1237 Highway 35 S
Forest, MS 39074-8830

Mailing address

1237 Highway 35 S
Forest, MS 39074-8830
Phone (601) 469-8266

Other names 1

  • Forest Metro Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1237 Highway 35 S
Forest, MS 39074
Phone (601) 469-8266

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134658602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390748830",
            "telephone_number": "601-469-8266",
            "fax_number": "601-469-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390748830",
            "telephone_number": "601-469-8266",
            "fax_number": "601-469-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GENTRI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "601-469-8266"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Metro Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.