Smile Straight Orthodontics - Jackson LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE STRAIGHT ORTHODONTICS - JACKSON LLC

Practice address

7040 Old Canton Rd
Ridgeland, MS 39157-1035

Phone

(601) 368-6635

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Teresa Zwicky

Title

MGR

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Tax ID family

Smile Straight Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile Straight Orthodontics - Jackson LLC

  dba Smile Straight Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson, MS
  • NPI 1225709074
  NPD tax ID

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1184389272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 E THOMAS RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517620",
            "telephone_number": "480-866-8811",
            "fax_number": "602-429-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571035",
            "telephone_number": "601-368-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STRAIGHT ORTHODONTICS - JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Stewart Slee, PT
• Sleep Consultants Diagnostic Lab (Sleep Consultants Sleep Center)
• Jessica D Sligh, COTA
• SLT Allscreens Mobile Testing LLC
• Joe H Smelser, PT
• Smile Straight Orthodontics-Central Ms PLLC (Smile Straight Orthodontics)
• Ashley Smith, LPC
• Bridget Smith, DPT
• Carroll Paul Smith, LCSW
• Chelsea Lynn Smith, BCBA, LBA

• Orthodontics and Dentofacial Orthopedics Dentistry in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.