Organization
SAWGRASS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN R SMITH D.M.D (PEDIATRIC DENTIST)
(843) 236-7500
Entity
Organization
Contact information
Practice address
210 VILLAGE CENTER BLVD, SUITE 130, MYRTLE BEACH, SC 29579-6706
(843) 236-7500
(843) 236-7550
Mailing address
210 VILLAGE CENTER BLVD, SUITE 130, MYRTLE BEACH, SC 29579-6706
(843) 236-7500
(843) 236-7550
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
791 PD
SC
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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