| Southern Smiles Dental Studio Columbia Llc | |
|
160 Summit Centre Dr Columbia SC 29229-7612 | |
| (803) 699-7224 | |
| (803) 736-0985 |
| Full Name | Southern Smiles Dental Studio Columbia Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 160 Summit Centre Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Melissa Denise Pittman (OFFICE) |
| Authorized Official Contact | 8645767464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Dental Studio Columbia Llc 3106 Reidville Rd Spartanburg SC 29301-5644 Ph: (803) 699-7224 | Southern Smiles Dental Studio Columbia Llc 160 Summit Centre Dr Columbia SC 29229-7612 Ph: (803) 699-7224 |
| NPI Number | 1477055481 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 03/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477055481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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