Organization
GAMBLE DENTALSMART PC
Active
Other names
DentalSmart
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GAMBLE JR. (DENTIST/OWNER)
(843) 735-6727
Entity
Organization
Contact information
Practice address
2724 N LAKE DR, UNIT 304, COLUMBIA, SC 29212-8733
(843) 735-6727
Mailing address
2020 SAVANNAH HWY, CHARLESTON, SC 29407-6286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX1626
—
SC
Enumeration date
02/18/2016
Last updated
04/04/2016
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