| Dentalsmart | |
|
1988 Paxville Hwy Space #613-01 Manning SC 29102-6432 | |
| (803) 696-4432 | |
| Not Available |
| Full Name | Dentalsmart |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1988 Paxville Hwy, Manning, South Carolina |
| Authorized Official Name and Position | Robert Gamble (DENTIST/OWNER) |
| Authorized Official Contact | 8437356727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalsmart 2020 Savannah Hwy Charleston SC 29407-6286 Ph: (843) 735-6727 | Dentalsmart 1988 Paxville Hwy Space #613-01 Manning SC 29102-6432 Ph: (803) 696-4432 |
| NPI Number | 1972962991 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972962991 | NPI | - | NPPES |
| ZX1626 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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