is a Oral And Maxillofacial Surgery in Mt Pleasant, South Carolina. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for is 1144370339. The last update date is .
's current location address is 1311 Chuck Dawley Blvd Ste 101, Mt Pleasant, South Carolina. You can contact this provider via phone number 8439710041 and fax number 8439710043. The mailing address for is 1311 Chuck Dawley Blvd Ste 101, Mt Pleasant, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1311 Chuck Dawley Blvd Ste 101, Mt Pleasant, South Carolina |
| Phone Number | 8439710041 |
| Fax Number | 8439710043 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144370339 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1311 Chuck Dawley Blvd Ste 101 |
|---|---|
| City | Mt Pleasant |
| State | South Carolina (SC) |
| Post Code | 294647303 |
| Phone Number | 8439710041 |
| Fax Number | 8439710043 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 1481 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9913 | SC | -- |
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