| A. Frederick Solomon Dmd P.a. | |
|
1971 N Main St Summerville SC 29483 | |
| (843) 871-0842 | |
| (843) 832-4531 |
| Full Name | A. Frederick Solomon Dmd P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1971 N Main St, Summerville, South Carolina |
| Authorized Official Name and Position | Alwyn F Solomon (OWNER) |
| Authorized Official Contact | 8438710842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Frederick Solomon Dmd P.a. 1971 North Main St Summerville SC 29483 Ph: (843) 871-0842 | A. Frederick Solomon Dmd P.a. 1971 N Main St Summerville SC 29483 Ph: (843) 871-0842 |
| NPI Number | 1063579829 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063579829 | NPI | - | NPPES |
| ZA9833 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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