Individual
DR. PETER R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 PARRIS ISLAND GATEWAY, BEAUFORT, SC 29903-4473
(843) 525-0616
Mailing address
PO BOX 4473, BEAUFORT, SC 29903-4473
(843) 525-0616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC 2957
SC
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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