Dr Charles D. Myers, Jr Dmd | |
133 Cedar Street St Stephen SC 29479 | |
(843) 567-3175 | |
(843) 567-3293 |
Full Name | Dr Charles D. Myers, Jr Dmd |
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Speciality | Dentist - General Practice |
Location | 133 Cedar Street, St Stephen, South Carolina |
Authorized Official Name and Position | Charles D Myers (OWNER/OPERATOR) |
Authorized Official Contact | 8435673175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Charles D. Myers, Jr Dmd Po Box 760 Saint Stephen SC 29479-0760 Ph: (843) 567-3175 | Dr Charles D. Myers, Jr Dmd 133 Cedar Street St Stephen SC 29479 Ph: (843) 567-3175 |
NPI Number | 1043232218 |
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Provider Enumeration Date | 07/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043232218 | NPI | - | NPPES |
SC1954 | Other | SC | SC LICENSE NUMBER |
919542 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1954 (South Carolina) | Primary |
St Stephen Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1142 Main Street, St Stephen, SC 29479 Phone: 843-567-2900 Fax: 843-567-2099 |