| Cane Bay Family Dentistry | |
|
1724 State Rd Unit 4d Summerville SC 29486-2842 | |
| (843) 352-4454 | |
| (843) 352-4875 |
| Full Name | Cane Bay Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1724 State Rd Unit 4d, Summerville, South Carolina |
| Authorized Official Name and Position | Christopher Oliver (OWNER) |
| Authorized Official Contact | 8433524454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cane Bay Family Dentistry 1724 State Rd Unit 4d Summerville SC 29486-2842 Ph: (843) 352-4454 | Cane Bay Family Dentistry 1724 State Rd Unit 4d Summerville SC 29486-2842 Ph: (843) 352-4454 |
| NPI Number | 1760834949 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760834949 | NPI | - | NPPES |
| 1295045771 | Other | SC | STATE |
| 1366858870 | Other | SC | STATE |
| 1396110078 | Other | SC | STATE |
| 1710969845 | Other | SC | STATE |
| 1982056966 | Other | SC | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8137 (South Carolina) | Primary |
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