South Mississippi Smiles Dentistry LLC
Organization Active NPI General Practice Dentistry · Gulfport, MS
NPI 1174964530 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1174964530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 357110 (MS)
- Legal business name
- SOUTH MISSISSIPPI SMILES DENTISTRY LLC
- Practice address
- 9350 Highway 49
Gulfport, MS 39503-4213 - Phone
- (520) 722-1182
- Fax
- (520) 798-2418
- NPI assigned
- Jul 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Teresa Zwicky
- Title
- Credentialing Manager
- Phone
- (480) 866-8811
Practitioners 6
-
Gunner Rhoden, DMD
-
Adam Paul Mather, DDS
-
Angela Marie Baudean, D.M.D
National Provider Directory
Locations
9354 Highway 49
Ste L
Gulfport, MS 39503
Phone (228) 206-1234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 357110 | MS | Yes |
Addresses
Primary practice location
9350 Highway 49
Gulfport, MS 39503-4213
Mailing address
9354 Highway 49 Ste L
Gulfport, MS 39503-4226
Phone (228) 206-1234
Other names
- South Mississippi Smiles
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All providers in Gulfport, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.