Signature Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SIGNATURE SMILES PLLC

Practice address

113 Dees Dr Ste D
Madison, MS 39110-5049

Phone

(601) 540-8789

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Trisha R Patel, DMDNPI 1962995605

Title

Owner Dentist

Phone

(601) 540-8789

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Trisha Rajesh Patel, DMD

  • Dentist
  • Clinton, MS
  • NPI 1962995605
  NPD Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1619600269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DEES DR STE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105049",
            "telephone_number": "601-540-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DEES DR STE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105049",
            "telephone_number": "601-540-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "601-540-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "4000-18",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Select Medical LLC
• Robert P. N. Shearin, M.D.
• Tracy Shipp, M.S. CCC-SLP
• Gretchen Elizabeth Shirley, R.PH.
• Sanjib Shrestha, MD
• Russell E. Simkins, PHARMD
• Anne Marie Simmons, PHARMD
• John Christopher Simmons, CRNA
• Jessica C Sinclair, FNP-C
• Larry W Sivils, MD

• General Practice Dentistry in Madison, MS
• Providers in Madison, 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 Jul 1, 2022; 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.