| Signature Smiles, Llc | |
|
1730 Henderson St Ste A Columbia SC 29201-2648 | |
| (803) 252-5068 | |
| Not Available |
| Full Name | Signature Smiles, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1730 Henderson St Ste A, Columbia, South Carolina |
| Authorized Official Name and Position | Blake Michael Julian (PRACTICE OWNER) |
| Authorized Official Contact | 8642716213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smiles, Llc 1730 Henderson St Ste A Columbia SC 29201-2648 Ph: (803) 252-5068 | Signature Smiles, Llc 1730 Henderson St Ste A Columbia SC 29201-2648 Ph: (803) 252-5068 |
| NPI Number | 1104304393 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104304393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6903 (South Carolina) | Primary |
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