OrganizationActive
Smiles on Broadway Dental Care
NPI 1942608112 · Pediatric Dentistry · Jackson, MS
Smiles on Broadway Dental Care is a Pediatric Dentistry organization in Jackson, MS (NPI 1942608112).
Provider details
- NPI number
- 1942608112
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lamonica Davis, Pediatric Dentist(601) 665-4996
- License
- PEDO-483-14 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 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
5442 Watkins Dr
Jackson, MS 39206-2034
Phone: (601) 665-4996
Fax: (601) 398-0450
Street-level locationGet directions
Mailing address
5442 Watkins Dr
Jackson, MS 39206-2034
Registry dates
- Enumerated
- 2014-12-19
- Last updated
- 2014-12-19
Frequently asked questions
- What is Smiles on Broadway Dental Care's NPI number?
- Smiles on Broadway Dental Care's National Provider Identifier (NPI) is 1942608112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smiles on Broadway Dental Care?
- Smiles on Broadway Dental Care is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Smiles on Broadway Dental Care located?
- Smiles on Broadway Dental Care's practice location on file with NPPES is 5442 Watkins Dr, Jackson, MS 39206-2034.
- What is Smiles on Broadway Dental Care's phone number?
- The practice phone number listed in the NPPES registry for Smiles on Broadway Dental Care is (601) 665-4996.
- Who is the authorized official for Smiles on Broadway Dental Care?
- The authorized official listed on Smiles on Broadway Dental Care's NPPES record is Lamonica Davis, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smiles on Broadway Dental Care's NPI active?
- Yes — Smiles on Broadway Dental Care's NPI (1942608112) is active in the NPPES registry as of the last update on 2014-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.