Organization
SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DENISE PITTMAN (OFFICE)
(864) 576-7464
Entity
Organization
Contact information
Practice address
160 SUMMIT CENTRE DR, COLUMBIA, SC 29229-7612
(803) 699-7224
(803) 736-0985
Mailing address
3106 REIDVILLE RD, SPARTANBURG, SC 29301-5644
(803) 699-7224
(803) 736-0985
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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