South Mississippi Smiles Dentistry LLC
NPI 1174964530ActiveOrganization· Dentist, General Practice· Gulfport, MS
Dentist, General Practice in Gulfport, Mississippi, registered in NPPES in July 2013. The authorized official on file is Teresa Zwicky, Credentialing Manager.
Overview
| NPI | 1174964530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2013 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 357110 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Gulfport
- 1063602043
- 1083398309
- 1093128894
- 1134455496
- 1174829501
- 1215076989
- 1245333483
- 1265589030
- 1326274598
- 1346735081
- 1407581408
- 1477086585
All 49 general dentists in Gulfport · All general dentists in Mississippi