| A. Crosby Livingston, Jr., Dmd, Pa | |
|
1028 Kinley Rd Irmo SC 29063-9632 | |
| (803) 781-0880 | |
| (803) 781-3288 |
| Full Name | A. Crosby Livingston, Jr., Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1028 Kinley Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Allen Crosby Livingston (PRESIDENT) |
| Authorized Official Contact | 8037810880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Crosby Livingston, Jr., Dmd, Pa 1028 Kinley Rd Irmo SC 29063-9632 Ph: (803) 781-0880 | A. Crosby Livingston, Jr., Dmd, Pa 1028 Kinley Rd Irmo SC 29063-9632 Ph: (803) 781-0880 |
| NPI Number | 1255463808 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255463808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2739 (South Carolina) | Primary |
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