Active NPI
Growing Smiles of Picayune, PLLC
- General Practice Dentistry
- Picayune, MS
National Provider Identifier
1871734715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3213-02
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Picayune, MS
- NPI 1265584189
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.