OrganizationActive
Brookhaven Smile Center, Inc
NPI 1922203306 · General Practice Dentistry · Brookhaven, MS
Provider details
- NPI number
- 1922203306
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeremy King, President(601) 823-2990
- License
- 339006 (MS)
Specialties & taxonomies
Dental Providers
Practice location
1381 Johnny Johnson Dr
Brookhaven, MS 39601-9641
Phone: (601) 823-2990
Fax: (601) 823-2991
Approximate (ZIP-level) locationGet directions
Mailing address
1381 Johnny Johnson Dr
Brookhaven, MS 39601-9641
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.