Organization
SOUTH SHORE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DAVID SMITH DDS (CO/OWNER)
(803) 606-5134
Entity
Organization
Contact information
Practice address
110 CHARTER OAK RD, LEXINGTON, SC 29072-9710
(803) 359-6143
(803) 359-6140
Mailing address
110 CHARTER OAK RD, LEXINGTON, SC 29072-9710
(803) 359-6143
(803) 359-6140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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