| Dentistry For Children Of South Carolina | |
|
302b Midland Pkwy Summerville SC 29485-8102 | |
| (843) 821-3162 | |
| Not Available |
| Full Name | Dentistry For Children Of South Carolina |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 302b Midland Pkwy, Summerville, South Carolina |
| Authorized Official Name and Position | Charles Coulter (OWNER) |
| Authorized Official Contact | 7706921000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of South Carolina 1350 Spring Street Suite 600 Atlanta GA 30309-2870 Ph: (770) 692-1000 | Dentistry For Children Of South Carolina 302b Midland Pkwy Summerville SC 29485-8102 Ph: (843) 821-3162 |
| NPI Number | 1518202720 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518202720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3253 (South Carolina) | Primary |
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