| Columbia Smiles Youth Dentistry, Llc | |
|
3000 Two Notch Rd Columbia SC 29204-2822 | |
| (803) 691-9930 | |
| (803) 691-9322 |
| Full Name | Columbia Smiles Youth Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3000 Two Notch Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Smiles Youth Dentistry, Llc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Columbia Smiles Youth Dentistry, Llc 3000 Two Notch Rd Columbia SC 29204-2822 Ph: (803) 691-9930 |
| NPI Number | 1760448575 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760448575 | NPI | - | NPPES |
| ZA9624 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Premier Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7212 Brookfield Rd, Columbia, SC 29223 Phone: 803-626-1265 Fax: 803-281-8832 | |
G Abrams And R Cohen Sc 1 Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Pelham Dr, Columbia, SC 29209 Phone: 803-661-8412 Fax: 803-661-8415 | |
The Braces Place Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Longtown Rd, Suite B, Columbia, SC 29229 Phone: 803-661-8468 | |
Paul R. Downing, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Alpine Cir, Columbia, SC 29223 Phone: 803-736-9991 Fax: 803-788-6921 | |
Columbia Denture Center - Columbia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2123 Broad River Rd, Columbia, SC 29210 Phone: 803-799-5700 | |
Sandhills Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Clemson Rd, Columbia, SC 29229 Phone: 803-788-9715 Fax: 803-788-9705 | |
Rice Creek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4547 Hard Scrabble Rd, Columbia, SC 29229 Phone: 803-788-2672 Fax: 803-788-2675 |