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NPI Code Detail

MEDICARE: HAPPY SMILES LLC

MEDICARE: HAPPY SMILES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry357110MS

General Provider Information

NPI Number : 1407150204
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAPPY SMILES LLC
Provider Business Mailing Address
First Line : 2154 GOODMAN RD W
Second Line :
City : HORN LAKE
State : MS
Zip : 38637-1303
Country : US
Telephone Number : 662-393-9200
Fax Number :
Provider Business Practice Location Address
First Line : 2154 GOODMAN RD W
Second Line :
City : HORN LAKE
State : MS
Zip : 38637-1303
Country : US
Telephone Number : 662-393-9200
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : TERESA ZWICKY
Credential :
Telephone Number : 480-866-8811
Provider Enumeration Date : 01/07/2011
Last Update Date : 09/23/2025

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Directions to “HAPPY SMILES LLC ” Practice Location

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