Organization
GAMBLE DENTALSMART PC
Active
Other names
DentalSmart
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCHLEIFER (CEO)
(843) 735-6727
Entity
Organization
Contact information
Practice address
4921 CENTRE POINTE DR, SUITE 201, NORTH CHARLESTON, SC 29418-6996
(843) 735-6727
Mailing address
2020 SAVANNAH HWY, CHARLESTON, SC 29407-6286
(843) 735-6727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX1626
—
SC
Enumeration date
12/15/2015
Last updated
04/11/2016
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