| Kool Smiles | |
|
1350 Grove Park Dr Orangeburg SC 29115-2455 | |
| (770) 916-9000 | |
| Not Available |
| Full Name | Kool Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1350 Grove Park Dr, Orangeburg, 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 1350 Grove Park Dr Orangeburg SC 29115-2455 Ph: (770) 916-9000 |
| NPI Number | 1063708410 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063708410 | 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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