Provider Demographics
NPI:1164299525
Name:NEW SMILES NEW BEGINNINGS INC
Entity Type:Organization
Organization Name:NEW SMILES NEW BEGINNINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAZMYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:BSDH, RDH, RDA
Authorized Official - Phone:517-513-4923
Mailing Address - Street 1:320 1/2 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3654
Mailing Address - Country:US
Mailing Address - Phone:517-513-4923
Mailing Address - Fax:
Practice Address - Street 1:320 1/2 ORANGE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-3654
Practice Address - Country:US
Practice Address - Phone:517-513-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty