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975 Savannah Hwy 107b Charleston SC 29407-7859 | |
| (843) 642-8100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 975 Savannah Hwy, Charleston, South Carolina |
| Authorized Official Name and Position | Nick Savastano (OWNER) |
| Authorized Official Contact | 8436428100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
975 Savannah Hwy 107b Charleston SC 29407-7859 Ph: (843) 642-8100 | 975 Savannah Hwy 107b Charleston SC 29407-7859 Ph: (843) 642-8100 |
| NPI Number | 1508318932 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508318932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN15487 (Florida) | Primary |
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