Organization
MAVERICK SMILES, LLC
Active
Other names
Maverick Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALICE VICKERY HUGHES DMD (OWNER)
(864) 414-5918
Entity
Organization
Contact information
Practice address
20 OWENS LN, MAULDIN, SC 29662-2634
(864) 243-8593
Mailing address
20 OWENS LN, MAULDIN, SC 29662-2634
(864) 243-8593
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
05/28/2025
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