Crystal Isenhower, Dmd, Llc in Conway - Dentist
Crystal Isenhower, Dmd, Llc - NPI 1629184171
Crystal Isenhower, Dmd, Llc is a Dentist in Conway, South Carolina. Crystal Isenhower, Dmd, Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Crystal Isenhower, Dmd, Llc is 1629184171. The last update date is 2020-08-22.
Crystal Isenhower, Dmd, Llc's current location address is 107 Waccamaw Medical Park Dr, Conway, South Carolina. You can contact this provider via phone number 8432343110 and fax number 8432343109. The mailing address for Crystal Isenhower, Dmd, Llc is 107 Waccamaw Medical Park Dr, Conway, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal Isenhower, Dmd, Llc |
|---|---|
| Address | 107 Waccamaw Medical Park Dr, Conway, South Carolina |
| Phone Number | 8432343110 |
| Fax Number | 8432343109 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Isenhower Rae Crystal |
| Credentials | DMD |
| Telephone Number | 8432343110 |
NPI Number Detail
| NPI Number | 1629184171 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 107 Waccamaw Medical Park Dr |
|---|---|
| City | Conway |
| State | South Carolina (SC) |
| Post Code | 295268902 |
| Phone Number | 8432343110 |
| Fax Number | 8432343109 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3529 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA967S | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Crystal Isenhower, Dmd, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Crystal Isenhower, Dmd, Llc has been assigned the NPI (National Provider Identifier) 1629184171. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Crystal Isenhower, Dmd, Llc is located?
The Crystal Isenhower, Dmd, Llc is situated at the following address: 107 Waccamaw Medical Park Dr, Conway, SC, 295268902.
What is Crystal Isenhower, Dmd, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crystal Isenhower, Dmd, Llc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Crystal Isenhower, Dmd, Llc receive the assignment of its 1629184171 from the Centers for Medicare & Medicaid Services?
The Crystal Isenhower, Dmd, Llc was issued its 1629184171 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date was the information regarding Crystal Isenhower, Dmd, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Crystal Isenhower, Dmd, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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