NPI

Latta Smiles

NPI 1700082930

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-06-25
Last updated
2020-08-22

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Specialties

Licenses

License SC
1920

Location

Practice location
203 S Marion St
City
Latta SC
Postal code
29565-1522
Phone
(843) 752-7655

Organization contact

Name
Raeford Clanton
Title
Owner
Phone
(843) 752-7655

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Latta, SC. 59 records in the public file.

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