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SOUTHERN SMILES NPI 1316340839


NPI Information

NPI: 1316340839
Provider Name: SOUTHERN SMILES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 42D0251343

Address:
298 OLD TROLLEY RD
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 871-9070
Get Directions

SOUTHERN SMILES is a general practice dentist in Summerville, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOUTHERN SMILES NPI is 1316340839. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

298 OLD TROLLEY RD
SUMMERVILLE, SC
ZIP 29485-929
Phone: (843) 871-9070
Fax: (843) 871-9111

The provider's authorized official is Dwight Julius Beavers .
The authorized official title is Member and has the following contact phone number (843) 871-9070.

The CLIA number assigned to this NPI record is 42D0251343 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/29/2014 and was last updated on 9/29/2014.


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
11223G0001XDentistGeneral Practice2560SOUTH CAROLINAYes

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: 5/5/2024

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