Healthcare Provider Details

I. General information

NPI: 1497686885
Provider Name (Legal Business Name): BITESIZE SMILES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 HIGHLAND BLVD STE C
NATCHEZ MS
39120-4634
US

IV. Provider business mailing address

317 HIGHLAND BLVD STE C
NATCHEZ MS
39120-4634
US

V. Phone/Fax

Practice location:
  • Phone: 601-443-1541
  • Fax: 601-443-1541
Mailing address:
  • Phone: 601-443-1541
  • Fax: 601-443-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BRADFORD
Title or Position: OWNER
Credential:
Phone: 601-443-1541