| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1972179307 | SUMMERVILLE SMILES DENTAL OFFICE, PC | PO BOX 920050 | DALLAS | TX | 753920050 | |||
| 1689310831 | FULLENKAMP | RHIANNON | 21 WESCOTT CT | CHARLESTON | SC | 294035704 | ||
| 1053081232 | GUSTAFSON | ALYSSA | 3102 POPLAR GROVE PL | SUMMERVILLE | SC | 294831697 |