Smiles on Broadway Dental Care
NPI 1942608112ActiveOrganization· Dentist, Pediatric Dentistry· Jackson, MS
Dentist, Pediatric Dentistry in Jackson, Mississippi, registered in NPPES in December 2014. The authorized official on file is Lamonica Davis, DMD, Pediatric Dentist.
Overview
| NPI | 1942608112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2014 |
| Last updated in NPPES | Dec 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | PEDO-483-14 | 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 |
|---|
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