# PEDIATRIC SMILES, LLC

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

## Provider details

- **NPI number:** 1871942391
- **Authorized official:** DR. COURTNEY DAVIS D.D.S (OWNER/PEDIATRIC DENTIST)
- **Authorized official phone:** (843) 707-7915

## Contact information

- **Practice address:** 19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
- **Practice address phone:** (843) 707-7915
- **Mailing address:** 19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
- **Mailing address phone:** (843) 707-7915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 8543-869 | SC | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016