NPIMap

Organization Active NPI

South Mississippi Smiles Dentistry LLC

Doing business as South Mississippi Smiles

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1174964530
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
357110 Issued in MS
Legal business name
SOUTH MISSISSIPPI SMILES DENTISTRY LLC
Doing business as
South Mississippi Smiles
Practice address
9350 Highway 49
Gulfport, MS 39503-4213
Phone
(520) 722-1182
Fax
(520) 798-2418
NPI assigned
Jul 15, 2013
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Teresa Zwicky
Title
Credentialing Manager
Phone
(480) 866-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 357110 MS Primary

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 1

  • South Mississippi Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

9350 Highway 49
Gulfport, MS 39503
Phone (228) 864-5197

9354 Highway 49
Ste L
Gulfport, MS 39503
Phone (228) 206-1234

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1174964530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 HIGHWAY 49 STE L",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034226",
            "telephone_number": "228-206-1234",
            "fax_number": "228-206-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034213",
            "telephone_number": "520-722-1182",
            "fax_number": "520-798-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI SMILES DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "357110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mississippi Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.