| Maverick Smiles Pediatric Dentistry | |
|
20 Owens Ln Mauldin SC 29662-2634 | |
| (864) 243-8593 | |
| Not Available |
| Full Name | Maverick Smiles Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20 Owens Ln, Mauldin, South Carolina |
| Authorized Official Name and Position | Mary Alice Vickery Hughes (OWNER) |
| Authorized Official Contact | 8644145918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Smiles Pediatric Dentistry 20 Owens Ln Mauldin SC 29662-2634 Ph: (864) 243-8593 | Maverick Smiles Pediatric Dentistry 20 Owens Ln Mauldin SC 29662-2634 Ph: (864) 243-8593 |
| NPI Number | 1689227381 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689227381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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