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Organization
PREMIER SMILE CENTER, LLC
Active
Organization
PREMIER SMILE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNELL SMITH DDS (DENTIST/OWNER)
(803) 626-1265
Entity
Organization
Contact information
Practice address
7212 BROOKFIELD RD, COLUMBIA, SC 29223-2202
(803) 626-1265
(803) 281-8832
Mailing address
7212 BROOKFIELD RD, COLUMBIA, SC 29223-2202
(803) 626-1265
(803) 281-8832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6936
DENTEST REGISTRATION
SC
Enumeration date
10/24/2018
Last updated
07/18/2025
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