De Soto Smiles Family Dentistry in Southaven - General Practice
De Soto Smiles Family Dentistry - NPI 1518093962
De Soto Smiles Family Dentistry is a General Practice in Southaven, Mississippi. De Soto Smiles Family Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for De Soto Smiles Family Dentistry is 1518093962. The last update date is 2018-12-13.
De Soto Smiles Family Dentistry's current location address is 730 Goodman Road East, Southaven, Mississippi. You can contact this provider via phone number 6623492351 and fax number 6623492416. The mailing address for De Soto Smiles Family Dentistry is 730 Goodman Road East, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | De Soto Smiles Family Dentistry |
|---|---|
| Address | 730 Goodman Road East, Southaven, Mississippi |
| Phone Number | 6623492351 |
| Fax Number | 6623492416 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kakales George John |
| Credentials | DDS |
| Telephone Number | 6629432351 |
NPI Number Detail
| NPI Number | 1518093962 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2018-12-13 |
Provider Mailing Address Detail
| Address | 730 Goodman Road East |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386719530 |
| Phone Number | 6623492351 |
| Fax Number | 6623492416 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to De Soto Smiles Family Dentistry by the Centers for Medicare & Medicaid Services?
The De Soto Smiles Family Dentistry has been issued the NPI (National Provider Identifier) 1518093962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the De Soto Smiles Family Dentistry located?
The De Soto Smiles Family Dentistry is located at 730 Goodman Road East, Southaven, MS 386719530.
What is De Soto Smiles Family Dentistry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for De Soto Smiles Family Dentistry is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518093962 to De Soto Smiles Family Dentistry?
The De Soto Smiles Family Dentistry received its 1518093962 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the details pertaining to De Soto Smiles Family Dentistry last refreshed?
The information related to the De Soto Smiles Family Dentistry, including its address, specialty, and other relevant details, was last updated on 2018-12-13.