SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC NPI 1477055481

NPI Information

NPI: 1477055481
Provider Name: SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 42D2112962

Address:
160 SUMMIT CENTRE DR
COLUMBIA, SC
ZIP 29229
Phone: (803) 699-7224
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SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC is a dental clinic center in Columbia, SC. SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC NPI is 1477055481. The provider is registered as an organization entity type.

The provider's business location address is:

160 SUMMIT CENTRE DR
COLUMBIA, SC
ZIP 29229-612
Phone: (803) 699-7224
Fax: (803) 736-0985

The provider's authorized official is Melissa Denise Pittman .
The authorized official title is Office and has the following contact phone number (864) 576-7464.

The CLIA number assigned to this NPI record is 42D2112962 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2018 and was last updated on 3/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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