OrganizationActive
Smile Design Orthodontics, LLC
NPI 1891102604 · Dentist · Hazlehurst, MS
Provider details
- NPI number
- 1891102604
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Chandra Minor, Owner(601) 955-7844
- License
- 3651-12 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1047 W Gallman Rd
Hazlehurst, MS 39083-9452
Phone: (601) 955-7844
Street-level locationGet directions
Mailing address
1047 W Gallman Rd
Hazlehurst, MS 39083-9452
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2014-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.