Organization
DR. SAMUEL J. MARSH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JESSE MARSH D.D.S. (PRESIDENT)
(803) 798-8675
Entity
Organization
Contact information
Practice address
2302 BUSH RIVER RD, COLUMBIA, SC 29210-5649
(803) 798-8675
(803) 798-4753
Mailing address
2302 BUSH RIVER RD, COLUMBIA, SC 29210-5649
(803) 798-8675
(803) 798-4753
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1192
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z11924
—
SC
Enumeration date
07/12/2013
Last updated
07/12/2013
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