| Kingstree Smiles | |
| 509 Thurgood Marshall Hwy Kingstree SC 29556-4107 | |
| (843) 356-2955 | |
| Not Available | 
| Full Name | Kingstree Smiles | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 509 Thurgood Marshall Hwy, Kingstree, South Carolina | 
| Authorized Official Name and Position | Keri Price (OWNER/DENTIST) | 
| Authorized Official Contact | 8433562955 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kingstree Smiles 509 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: (843) 356-2955 | Kingstree Smiles 509 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: (843) 356-2955 | 
| NPI Number | 1205312543 | 
|---|---|
| Provider Enumeration Date | 07/18/2018 | 
| Last Update Date | 07/18/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205312543 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DGD9159GD (South Carolina) | Primary | 
| Kingstree Family Dentisry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Longstreet St, Kingstree, SC 29556 Phone: 843-355-5554 | |
| Lucius F Wates Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-9295 Fax: 843-355-9296 | |
| Hopehealth, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 520 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556 Phone: 843-355-5628 Fax: 843-355-5616 |