institution
Smiles On Broadway Dental Care
Pediatric Dentist in Jackson, Mississippi
NPI 1942608112

Smiles On Broadway Dental Care is a Pediatric Dentist based in Jackson, MS and is specialized in Pediatric Dentistry. Smiles On Broadway Dental Care practices in Jackson, MS. The NPI Number for Smiles On Broadway Dental Care is 1942608112 and holds a License No. PEDO-483-14 (Mississippi).

The current practice location address for Smiles On Broadway Dental Care is 5442 Watkins Dr, Jackson, MS and can be reached out via phone at 601-665-4996 and via fax at 601-398-0450. You can also correspond with Smiles On Broadway Dental Care through the mailing address at 5442 WATKINS DR, JACKSON, MS - 39206-2034 (mailing address contact number: 601-665-4996).

Location: 5442 Watkins Dr, Jackson, MS, 39206-2034
institution
Provider Profile Details
NPI Number
1942608112
Provider Name
Smiles On Broadway Dental Care
Credential
Provider Entity Type
Organization
Address
5442 Watkins Dr, Jackson, MS, 39206-2034
Phone Number
601-665-4996
Fax Number
601-398-0450
Provider Enumeration Date
12/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5442 Watkins Dr
City
State
Zip
39206-2034
Phone Number
601-665-4996
Fax Number
601-398-0450
person
Provider Business Mailing Address Details
Address
5442 Watkins Dr
City
State
Zip
39206-2034
Phone Number
601-665-4996
Fax Number
601-398-0450
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
PEDO-483-14 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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