Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smiles on Broadway Dental Care

Organization Pediatric Dentistry · NPI 1942608112

Smiles on Broadway Dental Care is a Pediatric Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014

Practice location Address checks out

5442 Watkins Dr
Jackson, MS 39206-2034
Phone: (601) 665-4996
Fax: (601) 398-0450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence PEDO-483-14 (MS)

Record details

NPI number1942608112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lamonica Davis — Pediatric Dentist · (601) 665-4996
NPI enumeratedDecember 19, 2014
Last updated in NPPESDecember 19, 2014
Mailing address5442 Watkins Dr, Jackson, MS 39206-2034

Other providers in Jackson