| Northeast Smile Center | |
|
118 N Brickyard Rd Columbia SC 29223-6902 | |
| (803) 699-7933 | |
| Not Available |
| Full Name | Northeast Smile Center |
|---|---|
| Speciality | Dentist |
| Location | 118 N Brickyard Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Glennell Smith (DENTIST) |
| Authorized Official Contact | 2252296939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Smile Center 118 N Brickyard Rd Columbia SC 29223-6902 Ph: (803) 699-7933 | Northeast Smile Center 118 N Brickyard Rd Columbia SC 29223-6902 Ph: (803) 699-7933 |
| NPI Number | 1558750307 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558750307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | SC6936 (South Carolina) | Primary |
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