| Newsmile | |
|
303 Bunch Ford Rd Holly Hill SC 29059-8401 | |
| (803) 496-9012 | |
| Not Available |
| Full Name | Newsmile |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 Bunch Ford Rd, Holly Hill, South Carolina |
| Authorized Official Name and Position | Susan Jaques (OWNER) |
| Authorized Official Contact | 8034969012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newsmile 303 Bunch Ford Rd Holly Hill SC 29059-8401 Ph: (803) 496-9012 | Newsmile 303 Bunch Ford Rd Holly Hill SC 29059-8401 Ph: (803) 496-9012 |
| NPI Number | 1992285571 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992285571 | NPI | - | NPPES |
| ZZ2538 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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