OrganizationActive
Ismile Family Dentistry
NPI 1295402519 · Dental Clinic/Center · Southaven, MS
Provider details
- NPI number
- 1295402519
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lashunda Roberts, President(601) 622-1073
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1305 Church Rd E
Southaven, MS 38671-9711
Phone: (662) 349-1141
Fax: (662) 349-6227
Street-level locationGet directions
Mailing address
Po Box 1168
Southaven, MS 38671-0012
Other names (DBA / former)
- Doing business as
- Ismile Family Dentistry
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.