Healthcare Provider Details

I. General information

NPI: 1881510683
Provider Name (Legal Business Name): JESSICA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 LANSFORD CT
MYRTLE BEACH SC
29588-3501
US

IV. Provider business mailing address

1917 SANDPIPER LN
MYRTLE BEACH SC
29575-5323
US

V. Phone/Fax

Practice location:
  • Phone: 854-600-1540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number10105
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: