THE SMILE CENTER OF CLARKSDALE – NPI #1063667129
Clinic/Center

THE SMILE CENTER OF CLARKSDALE is an AHC clinic located in CLARKSDALE, MS. NPPES has assigned the NPI number 1063667129 to THE SMILE CENTER OF CLARKSDALE on November 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE SMILE CENTER OF CLARKSDALE below.

NPI Profile for
THE SMILE CENTER OF CLARKSDALE

NPI Number
1063667129
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE SMILE CENTER OF CLARKSDALE
Primary location
526 CHOCTAW STREET
SUITES B & C
CLARKSDALE, MS 38614
Phone: (662) 226-1865 Fax:
Mailing address
PO BOX 1199
GRENADA, MS 38902-1199
Phone: (662) 226-1865 Fax:
Organization Subpart
No
Authorized Official
TIFFANY PRESLEY
CEO
Phone: (662) 226-1865
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MS 336906

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.