Organization
SWEET TOOTH SMILES P A
Active
Other names
Dental Sleep Doc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA MARGUERITE JOHANNES DDS (PRESIDENT)
(920) 254-9865
Entity
Organization
Contact information
Practice address
3020 SUNSET BLVD STE 106, WEST COLUMBIA, SC 29169-3494
(803) 233-1980
(803) 602-6397
Mailing address
112 MALLARD LAKES CT, LEXINGTON, SC 29072-9300
(920) 254-9865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4571
SC
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/25/2018
Last updated
07/22/2021
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