ISMILE FAMILY DENTISTRY
NPI 1295402519
Clinic/Center - Dental in Southaven, MS

Active since August 25, 2021
1305 CHURCH RD E, SOUTHAVEN, MS 38671(662) 349-1141(662) 349-6227 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ismile Family Dentistry NPPES

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

ISMILE FAMILY DENTISTRY (NPI 1295402519) is a healthcare organization registered as a dental in Southaven, Mississippi and active in the NPI registry since August 2021. The organization lists Lashunda Thompson Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1295402519
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameISMILE FAMILY DENTISTRY
Location Address1305 CHURCH RD ESouthaven, MS 38671-9711
Mailing AddressPo Box 1168Southaven, MS 38671-0012 · (662) 349-1141 · Fax (662) 349-6227
Fax(662) 349-6227
Organization SubpartNo
Authorized OfficialLashunda Thompson RobertsPresident · (601) 622-1073
Enumeration DateAugust 25, 2021
NPPES CertifiedJuly 16, 2021
NPI 1295402519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1305 CHURCH RD E, Southaven, MS 38671

Other Names 1

Doing Business AsIsmile Family Dentistry

Other Identifiers 1

Medicaid09709245MS

Other Providers at the Same Location NPPES 4

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

Dentist
1305 CHURCH RD E
SOUTHAVEN, MS 38671
Hospice Care, Community Based
1305 CHURCH RD E
SOUTHAVEN, MS 38671
Dentist
1305 CHURCH RD E
SOUTHAVEN, MS 38671
Dentist (General Practice)
1305 CHURCH RD E
SOUTHAVEN, MS 38671

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 Ismile Family Dentistry's NPI number?

The NPI number for Ismile Family Dentistry is 1295402519. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Ismile Family Dentistry located?

Ismile Family Dentistry is located at 1305 Church Rd E, Southaven, MS 38671. The listed phone number is (662) 349-1141.

What is Ismile Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ismile Family Dentistry was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.