Organization Active NPI

The Smile Center Inc

  • Dentist
  • Grenada, MS
National Provider Identifier
1962683532
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE SMILE CENTER INC
Practice address
2376 Sunset Dr
Suite B
Grenada, MS 38901-2827
Phone
(662) 417-2786
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Tiffany Presley, RDH
Title
Manager
Phone
(662) 417-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2376 Sunset Dr
Suite B
Grenada, MS 38901-2827

Mailing address

PO Box 1199
Grenada, MS 38902-1199
Phone (662) 417-2786

Other names 1

  • The Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

2376 Sunset Dr
Ste B
Grenada, MS 38901
Phone (662) 417-2786

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1962683532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1199",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021199",
            "telephone_number": "662-417-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 SUNSET DR",
            "address_2": "SUITE B",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012827",
            "telephone_number": "662-417-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-417-2786",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.