| Carnes Crossroads Dental P.a | |
|
3751 S Live Oak Dr Suite G Moncks Corner SC 29461-7903 | |
| (843) 761-7380 | |
| (843) 761-7385 |
| Full Name | Carnes Crossroads Dental P.a |
|---|---|
| Speciality | Dentist |
| Location | 3751 S Live Oak Dr, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Douglas Donald Walker (PRESIDENT/CEO) |
| Authorized Official Contact | 3303231986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carnes Crossroads Dental P.a 3751 S Live Oak Dr Suite G Moncks Corner SC 29461-7903 Ph: (843) 761-7380 | Carnes Crossroads Dental P.a 3751 S Live Oak Dr Suite G Moncks Corner SC 29461-7903 Ph: (843) 761-7380 |
| NPI Number | 1316363047 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316363047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8129 (South Carolina) | Primary |
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Carnes Crossroads Dental Arts P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3751 S Live Oak Dr, Suite G, Moncks Corner, SC 29461 Phone: 843-761-7380 Fax: 843-761-7385 |