# SAWGRASS PEDIATRIC DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427499540
- **Authorized official:** DR. RYAN R SMITH D.M.D (PEDIATRIC DENTIST)
- **Authorized official phone:** (843) 236-7500

## Contact information

- **Practice address:** 210 VILLAGE CENTER BLVD, SUITE 130, MYRTLE BEACH, SC 29579-6706
- **Practice address phone:** (843) 236-7500
- **Practice address fax:** (843) 236-7550
- **Mailing address:** 210 VILLAGE CENTER BLVD, SUITE 130, MYRTLE BEACH, SC 29579-6706
- **Mailing address phone:** (843) 236-7500
- **Mailing address fax:** (843) 236-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 791 PD | SC | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 07/17/2013