Organization
PREMIER SMILE CENTER
Active
Parent organization
SMITH, GLENNELL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMITH, GLENNELL
Authorized official
DR. GLENNELL SMITH DDS (DENTIST)
(803) 626-1265
Entity
Organization
Contact information
Practice address
7212 BROOKFIELD RD, COLUMBIA, SC 29223-2202
(803) 626-1265
Mailing address
7212 BROOKFIELD RD, COLUMBIA, SC 29223-2202
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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