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Organization
SS DENTAL LLC
Active
Organization
SS DENTAL LLC
Active
Other names
Southern Shores Dental of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON D. SMITH DDS (DR./OWNER)
(803) 606-5134
Entity
Organization
Contact information
Practice address
1116 ATLAS RD, COLUMBIA, SC 29209-2532
(803) 783-0525
(803) 776-1105
Mailing address
1116 ATLAS RD, COLUMBIA, SC 29209-2532
(803) 783-0525
(803) 776-1105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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