Organization

Ismile Family Dentistry

Dental Clinic/Center in Southaven, MS(View on Map)

Legal Business Name

Ismile Family Dentistry

NPI Number

1295402519

NPI Type

Organization

Enumeration Date

08/25/2021

Specialties

(Taxonomies)

Code

261QD0000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1168
1305 CHURCH RD E

City

Southaven
Southaven

State

MS
MS

Postal Code

38671-0012
38671-9711

Country

US
US

Telephone Number

(662) 349-1141
(662) 349-1141

Authorized Official

Name

Dr. Lashunda Roberts

Title or Position

PRESIDENT

Telephone Number

(601) 622-1073

Identifiers

Identifier

09709245

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/25/2021

Provider Address

Other Dental Clinics/Centers in Southaven, Mississippi:

Organization

Jaya L Dental Arts Pllc

May also be known as Advanced Dental And Tmj Center
Southaven, MS

Specialty: Dental Clinic/Center (Primary)

Organization

Abide Endodontics

Southaven, MS

Specialty: Dental Clinic/Center (Primary)