Mississippi Smiles Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

357110 Issued in MS

Legal business name

MISSISSIPPI SMILES DENTISTRY LLC

Practice address

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

Phone

(769) 230-1940

Fax

(601) 292-6311

NPI assigned

Nov 15, 2016

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

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Mississippi Smiles Doing business as

Tax ID family

Mississippi Smiles2 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.

• Mississippi Smiles Dentistry LLC

  • General Practice Dentistry
  • Jackson, MS
  • NPI 1952710154
  NPD tax ID

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1346782893",
    "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": "769-230-1940",
            "fax_number": "601-292-6311"
        },
        {
            "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",
            "fax_number": "601-292-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI SMILES DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "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": "Mississippi Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi Oncology Associates
• Mississippi Pain Management
• Mississippi PHS PC
• Mississippi Physicians, LLP
• Mississippi Prosthetic Dentistry, PLLC
• Mississippi Smiles Dentistry LLC
• Mississippi Spine Clinic PLLC
• Mississippi Sports Medicine & Orthopaedic Center
• Mississippi State Department of Health
• Mississippi State Department of Health

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.