| Premier Smile Center | |
|
7212 Brookfield Rd Columbia SC 29223-2202 | |
| (803) 626-1265 | |
| (803) 281-8832 |
| Full Name | Premier Smile Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7212 Brookfield Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Glennell Sirecia Smith (DENTIST) |
| Authorized Official Contact | 8036261265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Smile Center 7212 Brookfield Rd Columbia SC 29223-2202 Ph: (803) 626-1265 | Premier Smile Center 7212 Brookfield Rd Columbia SC 29223-2202 Ph: (803) 626-1265 |
| NPI Number | 1013484484 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013484484 | NPI | - | NPPES |
| 6936 | Other | SC | DENTEST REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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