Organization Active NPI

Growing Smiles of Picayune, PLLC

  • General Practice Dentistry
  • Picayune, MS
National Provider Identifier
1871734715
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3213-02 Issued in MS
Legal business name
GROWING SMILES OF PICAYUNE, PLLC
Practice address
318 Memorial Blvd
Suite E
Picayune, MS 39466-5509
Phone
(601) 798-0500
NPI assigned
Mar 23, 2009
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Horace E Combs III, D.M.D.NPI 1265584189
Title
Member
Phone
(601) 798-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3213-02 MS Primary

Addresses

Primary practice location

318 Memorial Blvd
Suite E
Picayune, MS 39466-5509

Mailing address

500 Goodyear Blvd
Picayune, MS 39466-3217
Phone (601) 798-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1871734715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GOODYEAR BLVD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663217",
            "telephone_number": "601-798-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MEMORIAL BLVD",
            "address_2": "SUITE E",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665509",
            "telephone_number": "601-798-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES OF PICAYUNE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-798-0500",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3213-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.