Smile Mission Mississippi LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE MISSION MISSISSIPPI LLC

Practice address

1836 Crane Ridge Dr
Jackson, MS 39216-4901

Phone

(786) 701-8246

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Dustin Pfundheller

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1952294837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378",
            "telephone_number": "786-701-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 CRANE RIDGE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164901",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MISSION MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zdenko Slobodnik, M.D.
• SLS Consultation Firm PLLC
• Zachary Smalley, M.D.
• Craig Smardo, MD
• Laura Smart, M.D.
• Smile Straight Orthodontics - Jackson LLC (Smile Straight Orthodontics)
• Smile Straight Orthodontics-Central Ms PLLC
• Smile Straight Orthodontics-Central Ms PLLC (Smile Straight Orthodontics)
• Smiles on Broadway Dental Care
• Kellie Smith Lane

• Dental Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.