Organization
E TERRY SMITH JR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E TERRY SMITH JR. DMD (OWNER)
(843) 423-1044
Entity
Organization
Contact information
Practice address
201 HARLEE STREET, MARION, SC 29571
(843) 423-1044
(843) 423-1582
Mailing address
PO BOX 913, MARION, SC 29571
(843) 423-1044
(843) 423-1582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3081
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30814
—
SC
Enumeration date
04/11/2007
Last updated
07/31/2008
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