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SMILES 4 KIDS
NPI 1184999542
Dentist - Pediatric Dentistry in Jackson, WY

Active since March 19, 2012
1315 S HWY 89, SUITE 102, JACKSON, WY 83001(208) 716-9724 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smiles 4 Kids NPPES

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

SMILES 4 KIDS (NPI 1184999542) is a healthcare organization registered as a pediatric dentistry in Jackson, Wyoming and active in the NPI registry since March 2012. The organization lists Kory D Bingham, Owner, as its authorized official.

NPPES Registry Identity

NPI1184999542
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSMILES 4 KIDS JACKSON LLC
Location Address1315 S HWY 89, SUITE 102Jackson, WY 83001-8514
Mailing AddressPo Box 191Iona, ID 83427-0191 · (208) 716-9724
Phone(208) 716-9724
Organization SubpartNo
Authorized OfficialKory D BinghamOwner · (208) 716-9724
Enumeration DateMarch 19, 2012
Last NPPES UpdateApril 9, 2015
✔ NPI 1184999542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WY · 1361
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1315 S HWY 89, Jackson, WY 83001
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Other Names 1

Doing Business AsSmiles 4 Kids

Other Identifiers 1

Medicaid1124183207WY

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 2

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

ELKRIDGE DENTAL SOUTH LLC
Clinic/Center (Dental)
1315 S HWY 89
JACKSON, WY 83001
Teton County (307) 733-4122
REBECCA CLOETTA DDS PC
Dentist
1315 S HWY 89, STE 102
JACKSON, WY 83001
Teton County (307) 733-4122

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 Smiles 4 Kids Jackson LLC's NPI number?

The NPI number for Smiles 4 Kids Jackson LLC is 1184999542. It was assigned to this organization in the NPPES registry on March 19, 2012. The provider is doing business as Smiles 4 Kids.

Where is Smiles 4 Kids Jackson LLC located?

Smiles 4 Kids Jackson LLC is located at 1315 S Hwy 89 Suite 102, Jackson, WY 83001. The listed phone number is (208) 716-9724.

What is Smiles 4 Kids Jackson LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Smiles 4 Kids Jackson LLC was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.