Smith, Bennie L

Smith, Bennie L is an individual health care provider with primary practice located at 7724 N Kings Hwy , Myrtle Beach SC 29572-3041. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Bennie L can be contacted via phone (843) 663-8000.

Contact Information

Primary practice address
7724 N Kings Hwy Myrtle Beach SC 29572-3041
Phone: (843) 663-8000
Fax: (843) 663-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4501 South Carolina

Profile Details

NPI number 1740444645
LBN Legal business name Smith, Bennie L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Sep 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740444645 NPPES
South Carolina MEDICAID ZA9656
South Carolina MEDICAID 8902086

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