# CHARLESTON SMILES SD

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

## Provider details

- **NPI number:** 1912771163
- **Authorized official:** DR. SHMUEL DABUSH DDS (PEDIATRIC DENTIST)
- **Authorized official phone:** (843) 801-4264

## Contact information

- **Practice address:** 946 ORLEANS RD \# I, CHARLESTON, SC 29407-4815
- **Practice address phone:** (843) 573-0733
- **Mailing address:** 946 ORLEANS RD \# I, CHARLESTON, SC 29407-4815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023