Pure Smiles Biloxi, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PURE SMILES BILOXI, INC.

Practice address

1764 Pass Rd
Biloxi, MS 39531-3339

Phone

(228) 374-5334

NPI assigned

Dec 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Michelle Bolton-Gilich, DMD

Title

Dentist/Owner

Phone

(228) 374-5334

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David James Houser, D.M.D.

  • General Practice Dentistry
  • Biloxi, MS
  • NPI 1780603704
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1275170987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313339",
            "telephone_number": "228-374-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313339",
            "telephone_number": "228-374-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SMILES BILOXI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "BOLTON-GILICH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "228-374-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Pulciano, DO
• Mary Patricia Putnam, FNP
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• Dental Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.