| Kool Smiles | |
|
5422 Forest Dr Columbia SC 29206-5412 | |
| (800) 920-9948 | |
| Not Available |
| Full Name | Kool Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5422 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | David Vieth (PRESIDENT) |
| Authorized Official Contact | 7709165028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Smiles 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 | Kool Smiles 5422 Forest Dr Columbia SC 29206-5412 Ph: (800) 920-9948 |
| NPI Number | 1568775468 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568775468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
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