Organization Active NPI

Premier Smile Center

  • Customized Equipment (DME)
  • Columbia, SC
National Provider Identifier
1164304986
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PREMIER SMILE CENTER
Practice address
7212 Brookfield Rd
Columbia, SC 29223-2202
Phone
(803) 626-1265
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SMITH, GLENNELLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glennell Smith, DDSNPI 1801105044
Title
Dentist
Phone
(803) 626-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

7212 Brookfield Rd
Columbia, SC 29223-2202

Mailing address

7212 Brookfield Rd
Columbia, SC 29223-2202

National Provider Directory

National Provider Directory
Part of
Premier Smile Center LLC

Locations

7212 Brookfield Rd
Columbia, SC 29223
Phone (803) 626-1265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1164304986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 BROOKFIELD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 BROOKFIELD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232202",
            "telephone_number": "803-626-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SMILE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMITH, GLENNELL",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GLENNELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-626-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.