| Carolina Park Family Dentistry | |
|
3520 Park Avenue Blvd. Suite 100 Mount Pleasant SC 29466-2946 | |
| (843) 654-1918 | |
| (843) 654-1917 |
| Full Name | Carolina Park Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3520 Park Avenue Blvd., Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Andrew Bellebaum (OWNER) |
| Authorized Official Contact | 8436541918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Park Family Dentistry 3520 Park Avenue Blvd. Suite 100 Mount Pleasant SC 29466-7567 Ph: (843) 654-1918 | Carolina Park Family Dentistry 3520 Park Avenue Blvd. Suite 100 Mount Pleasant SC 29466-2946 Ph: (843) 654-1918 |
| NPI Number | 1851906028 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851906028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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