| Bettis Academy Dentistry, Llc | |
| 120b Bettis Academy Road Graniteville SC 29829 | |
| (803) 392-7082 | |
| Not Available | 
| Full Name | Bettis Academy Dentistry, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 120b Bettis Academy Road, Graniteville, South Carolina | 
| Authorized Official Name and Position | Brian J Smith (OWNER) | 
| Authorized Official Contact | 8033927082 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bettis Academy Dentistry, Llc 120 Bettis Academy Road Suite B Graniteville SC 29829-4150 Ph: (803) 392-7082 | Bettis Academy Dentistry, Llc 120b Bettis Academy Road Graniteville SC 29829 Ph: (803) 392-7082 | 
| NPI Number | 1386255214 | 
|---|---|
| Provider Enumeration Date | 08/13/2020 | 
| Last Update Date | 10/21/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386255214 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
| Christy Sikes, Llc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hickman St, Graniteville, SC 29829 Phone: 706-833-3730 |