Healthcare Provider Details

I. General information

NPI: 1437077021
Provider Name (Legal Business Name): HALEIGH KATHRYN SMITH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 LAMEUSE ST
BILOXI MS
39530-3107
US

IV. Provider business mailing address

2034 TUILLERIES CV
BILOXI MS
39531-2423
US

V. Phone/Fax

Practice location:
  • Phone: 228-267-0055
  • Fax:
Mailing address:
  • Phone: 228-306-7508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112847
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: