| Smiles At Carolina Forest | |
|
100 Debo Dr Unit 110 Myrtle Beach SC 29579-4921 | |
| (844) 514-4569 | |
| Not Available |
| Full Name | Smiles At Carolina Forest |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Debo Dr Unit 110, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Heather Pruemer (CREDENTIALING) |
| Authorized Official Contact | 2175408434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles At Carolina Forest 100 Debo Dr Unit 110 Myrtle Beach SC 29579-4921 Ph: () - | Smiles At Carolina Forest 100 Debo Dr Unit 110 Myrtle Beach SC 29579-4921 Ph: (844) 514-4569 |
| NPI Number | 1053706747 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053706747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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