Organization · Type 2 NPI

Maverick Smiles, LLC

Dental Clinic/Center · Mauldin, SC

NPI number 1689227381 Active

Practice location

20 Owens Ln
Mauldin, SC 29662-2634

Call (864) 243-8593 Map

Other practice locations

101 Milacron Drive, Fountain Inn, SC 29644 · (864) 243-8593

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1689227381
Entity type: Organization (Type 2)
Issued: Jul 22, 2019
Last updated: May 28, 2025
Status: Active

Other names

<unavail>
Maverick Smiles Pediatric Dentistry · doing business as
Maverick Smiles Pediatric Dentistry · doing business as

Authorized official

Mary Alice Vickery Hughes, DMD
Owner
(864) 414-5918

Verify this record

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About NPI 1689227381

Maverick Smiles, LLC's National Provider Identifier is 1689227381, issued on Jul 22, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mauldin, SC. The record was last updated on May 28, 2025.