Edward Wesley Teal is a Dentist in Loris, South Carolina. Edward Wesley Teal practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Wesley Teal is 1013988344. The last update date is 2012-03-05.
Edward Wesley Teal's current location address is 4004 Bayboro Street, Loris, South Carolina. You can contact this provider via phone number 8437562273 and fax number 8437560242. The mailing address for Edward Wesley Teal is 4004 Bayboro Street, Loris, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Wesley Teal |
|---|---|
| Address | 4004 Bayboro Street, Loris, South Carolina |
| Phone Number | 8437562273 |
| Fax Number | 8437560242 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1013988344 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2012-03-05 |
Provider Mailing Address Detail
| Address | 4004 Bayboro Street |
|---|---|
| City | Loris |
| State | South Carolina (SC) |
| Post Code | 29569 |
| Phone Number | 8437562273 |
| Fax Number | 8437560242 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2834 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z28346 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward Wesley Teal by the Centers for Medicare & Medicaid Services?
The Edward Wesley Teal has been issued the NPI (National Provider Identifier) 1013988344 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Edward Wesley Teal is physically located?
The Edward Wesley Teal is physically situated at the following address: 4004 Bayboro Street, Loris, SC, 29569.
What is Edward Wesley Teal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Wesley Teal is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Edward Wesley Teal receive its 1013988344 assignment from the Centers for Medicare & Medicaid Services?
The Edward Wesley Teal was assigned its 1013988344 by the Centers for Medicare & Medicaid Services on 2006-01-26.
When was the information regarding Edward Wesley Teal, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward Wesley Teal, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-03-05.