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Ismile Family Dentistry
Dental Clinic/Center in Southaven, Mississippi
NPI 1295402519

Ismile Family Dentistry is a Dental Clinic/Center based in Southaven, MS and is specialized in Dental. Ismile Family Dentistry practices in Southaven, MS. The NPI Number for Ismile Family Dentistry is 1295402519 and holds a License No. (Mississippi).

The current practice location address for Ismile Family Dentistry is 1305 Church Rd E, Southaven, MS and can be reached out via phone at 662-349-1141 and via fax at 662-349-6227.

Location: 1305 Church Rd E, Southaven, MS, 38671-0012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295402519
Provider Name
Ismile Family Dentistry
Credential
Provider Entity Type
Organization
Address
1305 Church Rd E, Southaven, MS, 38671-0012
Phone Number
662-349-1141
Fax Number
662-349-6227
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09709245 05 MS
institution
Provider Business Practice Location Address Details
Address
1305 Church Rd E
City
Southaven
State
Mississippi
Zip
38671-9711
Phone Number
662-349-1141
Fax Number
662-349-6227
person
Provider Business Mailing Address Details
Address
1305 Church Rd E
City
Southaven
State
Mississippi
Zip
38671-9711
Phone Number
662-349-1141
Fax Number
662-349-6227
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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