| Sweetgrass Orthodontics Llc | |
|
3425 Maybank Hwy Ste B Johns Island SC 29455-4821 | |
| (843) 800-2505 | |
| (843) 868-8754 |
| Full Name | Sweetgrass Orthodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3425 Maybank Hwy Ste B, Johns Island, South Carolina |
| Authorized Official Name and Position | Jing Zhou (OWNER) |
| Authorized Official Contact | 3172608999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetgrass Orthodontics Llc 1493 Appling Dr Mount Pleasant SC 29464-4688 Ph: (317) 260-8999 | Sweetgrass Orthodontics Llc 3425 Maybank Hwy Ste B Johns Island SC 29455-4821 Ph: (843) 800-2505 |
| NPI Number | 1457868036 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457868036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8490 (South Carolina) | Primary |
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