Ridgeland Smiles
NPI #1275014995 in Ridgeland, South Carolina
Provider Information
- NPI Number
- 1275014995
- Entity Type
- Organization
- Organization Name
- Ridgeland Smiles
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 22, 2018
- Last Updated
- Aug 22, 2018
Practice Location
- Address
- 10832 N JACOB SMART BLVD
- City
- Ridgeland
- State
- South Carolina
- ZIP Code
- 29936
- Phone
- (843) 812-8191
Authorized Official
- Name
- EARL BOSTICK JR.
- Title
- OWNER
- Phone
- (843) 812-8191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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