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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