The Smile Studio Pa

LBN: The Smile Studio Pa
The Smile Studio Pa is an health care organization with primary practice located at 1029 Highway 51 Ste D , Madison MS 39110-7648. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Smile Studio Pa can be contacted via phone (601) 605-2525, or through Rives, William O via phone (601) 605-2525.

Contact Information

Primary practice address
1029 Highway 51 Ste D Madison MS 39110-7648
Phone: (601) 605-2525
Fax: (601) 605-2524
Website:
Map and Directions
Authorized official contact:
Name: Rives, William O Doctor of Dental Medicine (DMD)
Phone: (601) 605-2525

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 320701 Mississippi

Profile Details

NPI number 1861650368
LBN Legal business name The Smile Studio Pa
DBA Doing business as
Authorized official Rives, William O Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861650368 NPPES
Mississippi MEDICAID 06684372

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