MEDICARE: FOLLY SMILES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1851531503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOLLY SMILES LLC

Provider Business Mailing Address
First Line	:	PO BOX 1922
Second Line	:	116 E. ASHLEY AVE
City	:	FOLLY BEACH
State	:	SC
Zip	:	29439-1922
Country	:	US
Telephone Number	:	843-588-0044
Fax Number	:	843-580-9316

Provider Business Practice Location Address
First Line	:	116 E. ASHLEY AVE
Second Line	:
City	:	FOLLY BEACH
State	:	SC
Zip	:	29439-1922
Country	:	US
Telephone Number	:	843-588-0044
Fax Number	:	843-580-9316

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTIN C RICHARDSON
Credential	:	DDS
Telephone Number	:	843-588-0044

Provider Enumeration Date	:	02/20/2009
Last Update Date	:	08/26/2025

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Directions to “FOLLY SMILES LLC ” Practice Location

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