is a General Practice in Charleston, South Carolina. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1821208448. The last update date is .
's current location address is 1040 Savannah Hwy, Charleston, South Carolina. You can contact this provider via phone number 8435568030 and fax number 8435566311. The mailing address for is 1040 Savannah Hwy, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1040 Savannah Hwy, Charleston, South Carolina |
| Phone Number | 8435568030 |
| Fax Number | 8435566311 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821208448 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1040 Savannah Hwy |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294077804 |
| Phone Number | 8435568030 |
| Fax Number | 8435566311 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | SC3403 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508932153 | PRACTICE NPI |
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