Individual
DR. BENNIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7724 N KINGS HWY, MYRTLE BEACH, SC 29572-3041
(843) 663-8000
(843) 663-8109
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-8109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902086
—
NC
05
—
ZA9656
—
SC
Enumeration date
07/10/2008
Last updated
09/23/2013
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