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SOUTHERN SMILES
NPI 1184937906
Dentist - General Practice in Mangham, LA

Active since July 21, 2010
4279 HIGHWAY 15, MANGHAM, LA 71259(318) 248-4986(318) 248-3379 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN SMILES (NPI 1184937906) is a healthcare organization registered as a general practice in Mangham, Louisiana and active in the NPI registry since July 2010. The organization lists Jennifer Newton Boles, Owner, as its authorized official.

NPPES Registry Identity

NPI1184937906
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. JENNIFER N. BOLES, DDS, LLC
Location Address4279 HIGHWAY 15Mangham, LA 71259-5189
Mailing Address4279 Highway 15Mangham, LA 71259-5189 · (318) 248-4986 · Fax (318) 248-3379
Phone(318) 248-4986
Fax(318) 248-3379
Organization SubpartNo
Authorized OfficialJennifer Newton BolesOwner · (318) 248-4986
Enumeration DateJuly 21, 2010
Last NPPES UpdateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1184937906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 5050
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.
4279 HIGHWAY 15, Mangham, LA 71259
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Other Names 1

Doing Business AsSouthern Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER NEWTON BOLES DDS
Dentist (General Practice)
4279 HIGHWAY 15
MANGHAM, LA 71259
Richland Parish (318) 248-4986
DR. MASON COPELAND LILES DDS
Dentist (General Practice)
4279 HIGHWAY 15
MANGHAM, LA 71259
Richland Parish (318) 248-4986
B&L DENTAL, LLC
Dentist
4279 HIGHWAY 15
MANGHAM, LA 71259
Richland Parish (318) 248-4986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Jennifer N. Boles, Dds, LLC's NPI number?

The NPI number for Dr. Jennifer N. Boles, Dds, LLC is 1184937906. It was assigned to this organization in the NPPES registry on July 21, 2010. The provider is doing business as Southern Smiles.

Where is Dr. Jennifer N. Boles, Dds, LLC located?

Dr. Jennifer N. Boles, Dds, LLC is located at 4279 Highway 15, Mangham, LA 71259. The listed phone number is (318) 248-4986.

What is Dr. Jennifer N. Boles, Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Jennifer N. Boles, Dds, LLC was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.