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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740444645 | NPPES |
| South Carolina | MEDICAID | ZA9656 | |
| South Carolina | MEDICAID | 8902086 |
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