| Charleston Youth Dentistry, Llc | |
|
6035a Rivers Ave North Charleston SC 29406-4924 | |
| (843) 572-9909 | |
| (843) 572-9901 |
| Full Name | Charleston Youth Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6035a Rivers Ave, North Charleston, South Carolina |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Youth Dentistry, Llc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Charleston Youth Dentistry, Llc 6035a Rivers Ave North Charleston SC 29406-4924 Ph: (843) 572-9909 |
| NPI Number | 1215995501 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215995501 | NPI | - | NPPES |
| ZA9597 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sweetgrass Dental Associates Dds, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 4950 Centre Pointe Dr Ste 114, North Charleston, SC 29418 Phone: 843-709-7116 | |
John Durant Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7455 Cross County Rd Ste 4, North Charleston, SC 29418 Phone: 843-552-4771 | |
Charleston Pediatric Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9217 University Blvd Ste 1c, North Charleston, SC 29406 Phone: 843-797-5133 Fax: 843-797-5865 | |
Charleston Denture Center - Norht Charleston, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5711 Rivers Ave, North Charleston, SC 29406 Phone: 843-744-8338 | |
Julian H. Campbell, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3188 W. Montague Ave, North Charleston, SC 29418 Phone: 843-554-3300 Fax: 888-508-3080 | |
Orthodontic Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2679 Lake Park Dr, North Charleston, SC 29406 Phone: 843-553-2255 Fax: 843-797-1231 | |
Jeffrey S Hall, Md, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9221 University Blvd, Building D, Suite 1-a, North Charleston, SC 29406 Phone: 843-569-0904 Fax: 843-569-0961 |