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Organization
SWEETGRASS DENTAL ASSOCIATES DDS, PC
Active
Organization
SWEETGRASS DENTAL ASSOCIATES DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MITCHELL DDS (OWNER/DENTIST)
(843) 823-6530
Entity
Organization
Contact information
Practice address
4950 CENTRE POINTE DR STE 114, NORTH CHARLESTON, SC 29418-6929
(843) 709-7116
Mailing address
4950 CENTRE POINTE DR STE 114, NORTH CHARLESTON, SC 29418-6929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720490063
INDIVIDUAL NPI
—
Enumeration date
07/19/2019
Last updated
03/07/2023
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