| Smileology Dental Clinic, Inc. | |
|
6518 Dorchester Rd Suite A North Charleston SC 29418-5100 | |
| (843) 767-8555 | |
| (843) 793-3344 |
| Full Name | Smileology Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6518 Dorchester Rd, North Charleston, South Carolina |
| Authorized Official Name and Position | Tracy Michelle Page (CEO) |
| Authorized Official Contact | 8437678555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileology Dental Clinic, Inc. 6518 Dorchester Rd Suite A North Charleston SC 29418-5100 Ph: (843) 767-8555 | Smileology Dental Clinic, Inc. 6518 Dorchester Rd Suite A North Charleston SC 29418-5100 Ph: (843) 767-8555 |
| NPI Number | 1942619671 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942619671 | NPI | - | NPPES |
| 1396940458 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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