Aos N Main Street | |
907 N Main St Summerville SC 29483-6632 | |
(843) 871-0842 | |
Not Available |
Full Name | Aos N Main Street |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 907 N Main St, Summerville, South Carolina |
Authorized Official Name and Position | Angie Bazzle (OPERATIONS MANAGER) |
Authorized Official Contact | 8438710842 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aos N Main Street 1971 N Main St Summerville SC 29486-7890 Ph: (843) 871-0842 | Aos N Main Street 907 N Main St Summerville SC 29483-6632 Ph: (843) 871-0842 |
NPI Number | 1043908155 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 04/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043908155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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