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Organization

BETTIS ACADEMY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN J SMITH DMD (OWNER)
(803) 392-7082
Entity
Organization

Contact information

Practice address
120B BETTIS ACADEMY ROAD, GRANITEVILLE, SC 29829
(803) 392-7082
Mailing address
120 BETTIS ACADEMY ROAD, SUITE B, GRANITEVILLE, SC 29829-4150
(803) 392-7082

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/13/2020
Last updated
10/21/2020
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