Picayune Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

345108 Issued in MS

Legal business name

PICAYUNE SMILES, LLC

Practice address

100 Hayden Oaks Dr
Picayune, MS 39466-2840

Phone

(601) 798-1135

NPI assigned

Jan 25, 2016

Last updated

Jan 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Daho, DDSNPI 1881803013

Title

Owner

Phone

(601) 798-1135

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph J Daho, DDS

  • General Practice Dentistry
  • Picayune, MS
  • NPI 1881803013
  NPD (past) Authorized official
• Alexandra Nicole Berthelot, DDS

  • General Practice Dentistry
  • Carriere, MS
  • NPI 1598404881
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1699132423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAYDEN OAKS DR",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662840",
            "telephone_number": "601-798-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAYDEN OAKS DR",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662840",
            "telephone_number": "601-798-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICAYUNE SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "DAHO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-798-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "345108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06680271",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Picayune Physical Therapy Center
• Picayune Rehabilitation and Healthcare Center, LLC
• Picayune Rural Health Clinic
• Picayune School District
• Picayune School District Early Head Start
• Picayune Urgent Care Clinic, LLC
• Ashiyah M Polk
• Donna Porter
• Alicia Marie Pressley-Moss, M.D.
• Morgan Grace Prince, MA CF- SLP

• General Practice Dentistry in Picayune, MS
• Providers in Picayune, 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 Jan 25, 2016; 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.