Smile Straight Orthodontics - Jackson LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE STRAIGHT ORTHODONTICS - JACKSON LLC

Doing business as

Smile Straight Orthodontics

Practice address

310 W Woodrow Wilson Ave Ste 400
Jackson, MS 39213-7697

Phone

(769) 230-1940

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Teresa Leigh Zwicky

Title

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Smile Straight Orthodontics Doing business as

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

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ridgeland, MS
  • NPI 1184389272
  NPD tax ID

Locations

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1225709074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W WOODROW WILSON AVE STE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137697",
            "telephone_number": "601-368-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W WOODROW WILSON AVE STE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137697",
            "telephone_number": "769-230-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Old Canton Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391571035",
            "country_code": "US",
            "telephone_number": "601-368-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE STRAIGHT ORTHODONTICS - JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "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": [
        {
            "organization_name": "Smile Straight Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SLS Consultation Firm PLLC
• Zachary Smalley, M.D.
• Craig Smardo, MD
• Laura Smart, M.D.
• Smile Mission Mississippi LLC
• Smile Straight Orthodontics-Central Ms PLLC
• Smile Straight Orthodontics-Central Ms PLLC (Smile Straight Orthodontics)
• Smiles on Broadway Dental Care
• Kellie Smith Lane
• Edith Faye Smith Rayford, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Jackson, MS
• Providers in Jackson, 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 Dec 29, 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.