| Charleston Family Orthodontics | |
|
712 Saint Andrews Blvd Charleston SC 29407-7141 | |
| (843) 571-5533 | |
| (843) 571-5534 |
| Full Name | Charleston Family Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 712 Saint Andrews Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Jennifer Ballantyne Berwick (ORTHODONTIST) |
| Authorized Official Contact | 8435715533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Family Orthodontics 376 Sumter St Apt A Charleston SC 29403-4902 Ph: (843) 571-5533 | Charleston Family Orthodontics 712 Saint Andrews Blvd Charleston SC 29407-7141 Ph: (843) 571-5533 |
| NPI Number | 1801142567 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 09/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801142567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4396 (South Carolina) | Primary |
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