Smile Country Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3502-09 Issued in MS

Legal business name

SMILE COUNTRY ORTHODONTICS

Practice address

15465 Oak LN
Gulfport, MS 39503-2663

Phone

(228) 832-4450

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Kimberly Chelette

Title

Insurance Coordinator

Phone

(985) 893-1044

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Bruce Thompson Bleil, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
  • NPI 1174792022
  NPD (past)
• Edward Victor Brown III, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pascagoula, MS
  • NPI 1326489345
  NPD (past)
• Edward Victor Brown Jr., DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
  • NPI 1598212623
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1356862445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100H",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 OAK LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-832-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE COUNTRY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "CHELETTE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "985-893-1044"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "3502-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Medical Supply LLC
• Hannah Slade, PCCSS
• Karen Elizabeth Slater, AU.D.
• Rachel Ann Slocum, NP
• Charles E Slonaker, MD
• Sarah Suzanne Smirthwaite
• Calvin Smith
• Carlyle Grace Smith, PHARMD
• Carol Ann Smith, M.D.
• Carolyn Dianne Smith

• Orthodontics and Dentofacial Orthopedics Dentistry in Gulfport, MS
• Providers in Gulfport, 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 Jun 29, 2017; 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.