Healthy Smiles Family Dentistry

NPI #1427456144 in Gulfport, Mississippi

Provider Information

NPI Number: 1427456144
Entity Type: Organization
Organization Name: Healthy Smiles Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 11, 2014
Last Updated: Dec 11, 2014

Practice Location

Address: 13179 THREE RIVERS RD
City: Gulfport
State: Mississippi
ZIP Code: 39503-4944
Phone: (228) 697-3010

Authorized Official

Name: DR. KINYATTA SHAUNTEL BENNETT, D.M.D
Title: MANAGER
Phone: (228) 697-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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