| Carolina Avenue Dental | |
|
214 Carolina Avenue Moncks Corner SC 29461 | |
| (843) 899-5911 | |
| (843) 899-5961 |
| Full Name | Carolina Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 Carolina Avenue, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Gloria B Pipkin (PRESIDENT) |
| Authorized Official Contact | 8438995911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Avenue Dental 214 Carolina Avenue Moncks Corner SC 29461 Ph: (843) 899-5911 | Carolina Avenue Dental 214 Carolina Avenue Moncks Corner SC 29461 Ph: (843) 899-5911 |
| NPI Number | 1023116019 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023116019 | NPI | - | NPPES |
| Z32812 | Medicaid | SC | |
| 567546 | Other | SC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC3281 (South Carolina) | Primary |
Lake Moultrie Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Carolina Ave, Moncks Corner, SC 29461 Phone: 843-761-8720 | |
Carnes Crossroads Dental 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 | |
Dr. Craig Thomas, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Carolina Ave, Moncks Corner, SC 29461 Phone: 843-899-5911 | |
Grosso Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Barony St Ste 6, Moncks Corner, SC 29461 Phone: 843-899-5800 Fax: 843-899-5806 | |
Drs. Kunkle And Powell, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Library St, Moncks Corner, SC 29461 Phone: 843-761-8065 Fax: 843-761-5085 | |
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 |