Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 LANSFORD CT, MYRTLE BEACH, SC 29588-3501
(854) 600-1540
Mailing address
1917 SANDPIPER LN, MYRTLE BEACH, SC 29575-5323
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10105
SC
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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